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 $776.25 Median $2,137.96 Typical High $2,398.83 | Facility | None | $776.25 | $2,137.96 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $2,398.83 | Professional | None | $776.25 | $776.25 | $2,398.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $457.09 Median $912.01 Typical High $1,698.24 | Facility | None | $457.09 | $912.01 | $1,698.24 |
BCBS Michigan Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $323.59 | Professional | None | $275.42 | $295.12 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $2,754.23 Typical High $2,754.23 | Professional | None | $812.83 | $2,754.23 | $2,754.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $870.96 Median $2,137.96 Typical High $2,511.89 | Facility | None | $870.96 | $2,137.96 | $2,511.89 |
Health Alliance Plan Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $1,288.25 | Professional | None | $776.25 | $891.25 | $1,288.25 |
Priority Health Setting Professional Modifier None Typical Low $812.83 Median $2,754.23 Typical High $2,754.23 | Professional | None | $812.83 | $2,754.23 | $2,754.23 |
United Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,071.52 | Professional | None | $794.33 | $794.33 | $1,071.52 |
4 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 $380.19 Median $380.19 Typical High $1,202.26 | Professional | 52 · Reduced service | $380.19 | $380.19 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $478.63 | Professional | 53 · Discontinued | $154.88 | $154.88 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $363.08 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $239.88 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $239.88 |
Where Michigan sits
The same service costs 2.6 times more in Alabama than in Florida. 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· 23rd of 51
$851
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.