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 $416.87 Median $1,122.02 Typical High $1,258.93 | Facility | None | $416.87 | $1,122.02 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $416.87 Typical High $512.86 | Professional | None | $398.11 | $416.87 | $512.86 |
BCBS Michigan Setting Facility Modifier None Typical Low $426.58 Median $831.76 Typical High $1,584.89 | Facility | None | $426.58 | $831.76 | $1,584.89 |
BCBS Michigan Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $446.68 | Professional | None | $389.05 | $407.38 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $398.11 | Professional | None | $323.59 | $323.59 | $398.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $426.58 Median $1,047.13 Typical High $1,258.93 | Facility | None | $426.58 | $1,047.13 | $1,258.93 |
Health Alliance Plan Setting Professional Modifier None Typical Low $398.11 Median $407.38 Typical High $549.54 | Professional | None | $398.11 | $407.38 | $549.54 |
Priority Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $398.11 | Professional | None | $323.59 | $323.59 | $398.11 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | None | $389.05 | $389.05 | $524.81 |
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 $199.53 Median $208.93 Typical High $257.04 | Professional | 52 · Reduced service | $199.53 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $83.18 Typical High $102.33 | Professional | 53 · Discontinued | $79.43 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $61.66 Typical High $75.86 | Professional | 55 · Aftercare only | $60.26 | $61.66 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $41.69 Typical High $51.29 | Professional | 56 · Pre-op care only | $39.81 | $41.69 | $51.29 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $363.08 Median $380.19 Typical High $407.38 | Professional | JW · Drug discarded | $363.08 | $380.19 | $407.38 |
Where Michigan sits
The same service costs 2.8 times more in Arizona than in Alabama. 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· 17th of 51
$407
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.