How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $114.82 Median $316.23 Typical High $354.81 | Facility | None | $114.82 | $316.23 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | None | $114.82 | $114.82 | $123.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $123.03 Median $245.47 Typical High $467.74 | Facility | None | $123.03 | $245.47 | $467.74 |
BCBS Michigan Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $131.83 | Professional | None | $112.20 | $120.23 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $123.03 | Professional | None | $91.20 | $91.20 | $123.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $125.89 Median $316.23 Typical High $446.68 | Facility | None | $125.89 | $316.23 | $446.68 |
Health Alliance Plan Setting Professional Modifier None Typical Low $114.82 Median $151.36 Typical High $208.93 | Professional | None | $114.82 | $151.36 | $208.93 |
Priority Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $123.03 | Professional | None | $91.20 | $91.20 | $123.03 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
United Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $158.49 | Professional | None | $120.23 | $120.23 | $158.49 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $61.66 | Professional | 52 · Reduced service | $57.54 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $24.55 | Professional | 53 · Discontinued | $22.91 | $22.91 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $18.20 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $12.30 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $12.30 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $107.15 Median $112.20 Typical High $117.49 | Professional | JW · Drug discarded | $107.15 | $112.20 | $117.49 |
Where Michigan sits
The same service costs 1.7 times more in Arizona than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Michigan· 25th of 51
$123
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.