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 $14.45 Median $39.81 Typical High $44.67 | Facility | None | $14.45 | $39.81 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.45 Typical High $44.67 | Professional | None | $14.13 | $14.45 | $44.67 |
BCBS Michigan Setting Facility Modifier None Typical Low $14.45 Median $17.38 Typical High $50.12 | Facility | None | $14.45 | $17.38 | $50.12 |
BCBS Michigan Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $15.14 | Professional | None | $12.88 | $13.49 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $21.38 Median $38.02 Typical High $44.67 | Facility | None | $21.38 | $38.02 | $44.67 |
Health Alliance Plan Setting Professional Modifier None Typical Low $14.13 Median $14.45 Typical High $19.05 | Professional | None | $14.13 | $14.45 | $19.05 |
Priority Health Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None Typical Low $13.80 Median $15.49 Typical High $18.62 | Professional | None | $13.80 | $15.49 | $18.62 |
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 $7.08 Median $7.24 Typical High $22.39 | Professional | 52 · Reduced service | $7.08 | $7.24 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.88 Typical High $8.91 | Professional | 53 · Discontinued | $2.82 | $2.88 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.09 Median $2.19 Typical High $6.76 | Professional | 55 · Aftercare only | $2.09 | $2.19 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $1.45 Typical High $4.47 | Professional | 56 · Pre-op care only | $1.41 | $1.45 | $4.47 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $12.30 Median $12.88 Typical High $13.49 | Professional | JW · Drug discarded | $12.30 | $12.88 | $13.49 |
Where Michigan sits
The same service costs 1.8 times more in Alaska than in Virginia. 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· 27th of 51
$14.45
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.