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 $18.62 Median $50.12 Typical High $56.23 | Facility | None | $18.62 | $50.12 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $56.23 | Professional | None | $18.20 | $18.62 | $56.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $18.62 Median $22.91 Typical High $64.57 | Facility | None | $18.62 | $22.91 | $64.57 |
BCBS Michigan Setting Professional Modifier None Typical Low $17.38 Median $18.62 Typical High $20.42 | Professional | None | $17.38 | $18.62 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $18.20 | Professional | None | $14.45 | $14.45 | $18.20 |
Health Alliance Plan Setting Facility Modifier None Typical Low $19.50 Median $48.98 Typical High $56.23 | Facility | None | $19.50 | $48.98 | $56.23 |
Health Alliance Plan Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $24.55 | Professional | None | $18.20 | $18.20 | $24.55 |
Priority Health Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $18.20 | Professional | None | $14.45 | $14.45 | $18.20 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $17.38 Median $19.50 Typical High $23.44 | Professional | None | $17.38 | $19.50 | $23.44 |
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 $9.12 Median $9.33 Typical High $28.18 | Professional | 52 · Reduced service | $9.12 | $9.33 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.72 Typical High $11.22 | Professional | 53 · Discontinued | $3.63 | $3.72 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.82 Typical High $8.51 | Professional | 55 · Aftercare only | $2.69 | $2.82 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.86 Typical High $5.62 | Professional | 56 · Pre-op care only | $1.82 | $1.86 | $5.62 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $16.60 Median $17.38 Typical High $18.20 | Professional | JW · Drug discarded | $16.60 | $17.38 | $18.20 |
Where Michigan sits
The same service costs 1.9 times more in Alaska than in Mississippi. 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
$18.62
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.