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 $20.89 Median $20.89 Typical High $102.33 | Facility | None | $20.89 | $20.89 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.89 Typical High $20.89 | Professional | None | $20.42 | $20.89 | $20.89 |
BCBS Michigan Setting Facility Modifier None Typical Low $21.38 Median $42.66 Typical High $83.18 | Facility | None | $21.38 | $42.66 | $83.18 |
BCBS Michigan Setting Professional Modifier None Typical Low $19.50 Median $20.89 Typical High $22.91 | Professional | None | $19.50 | $20.89 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $20.89 Median $54.95 Typical High $102.33 | Facility | None | $20.89 | $54.95 | $102.33 |
Health Alliance Plan Setting Professional Modifier None Typical Low $20.42 Median $22.91 Typical High $33.11 | Professional | None | $20.42 | $22.91 | $33.11 |
Priority Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $42.66 | Professional | None | $32.36 | $32.36 | $42.66 |
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 $10.23 Median $10.47 Typical High $30.20 | Professional | 52 · Reduced service | $10.23 | $10.47 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.17 Typical High $12.02 | Professional | 53 · Discontinued | $4.07 | $4.17 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.16 Typical High $9.12 | Professional | 55 · Aftercare only | $3.02 | $3.16 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.09 Typical High $6.03 | Professional | 56 · Pre-op care only | $2.04 | $2.09 | $6.03 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $18.62 Median $19.50 Typical High $20.42 | Professional | JW · Drug discarded | $18.62 | $19.50 | $20.42 |
Where Michigan sits
The same service costs 3.8 times more in Oklahoma than in Delaware. 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· 43rd of 51
$24.55
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.