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 $331.13 Median $891.25 Typical High $1,000.00 | Facility | None | $331.13 | $891.25 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $331.13 Typical High $389.05 | Professional | None | $316.23 | $331.13 | $389.05 |
BCBS Michigan Setting Facility Modifier None Typical Low $323.59 Median $398.11 Typical High $1,148.15 | Facility | None | $323.59 | $398.11 | $1,148.15 |
BCBS Michigan Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $354.81 | Professional | None | $309.03 | $323.59 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $316.23 | Professional | None | $251.19 | $251.19 | $316.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $338.84 Median $870.96 Typical High $1,000.00 | Facility | None | $338.84 | $870.96 | $1,000.00 |
Health Alliance Plan Setting Professional Modifier None Typical Low $316.23 Median $323.59 Typical High $436.52 | Professional | None | $316.23 | $323.59 | $436.52 |
Priority Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $316.23 | Professional | None | $251.19 | $251.19 | $316.23 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | None | $309.03 | $309.03 | $416.87 |
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 $158.49 Median $165.96 Typical High $194.98 | Professional | 52 · Reduced service | $158.49 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $66.07 Typical High $77.62 | Professional | 53 · Discontinued | $64.57 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $48.98 Typical High $57.54 | Professional | 55 · Aftercare only | $47.86 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $33.11 Typical High $38.90 | Professional | 56 · Pre-op care only | $31.62 | $33.11 | $38.90 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $288.40 Median $309.03 Typical High $323.59 | Professional | JW · Drug discarded | $288.40 | $309.03 | $323.59 |
Where Michigan sits
The same service costs 1.6 times more in Arizona than in Rhode Island. 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· 19th of 51
$324
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.