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 $23.44 Median $66.07 Typical High $74.13 | Facility | None | $23.44 | $66.07 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $23.44 Typical High $74.13 | Professional | None | $22.39 | $23.44 | $74.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $23.99 Median $46.77 Typical High $89.13 | Facility | None | $23.99 | $46.77 | $89.13 |
BCBS Michigan Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $25.12 | Professional | None | $21.88 | $22.91 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $22.39 | Professional | None | $19.95 | $19.95 | $22.39 |
Health Alliance Plan Setting Facility Modifier None Typical Low $23.99 Median $61.66 Typical High $74.13 | Facility | None | $23.99 | $61.66 | $74.13 |
Health Alliance Plan Setting Professional Modifier None Typical Low $22.39 Median $23.99 Typical High $31.62 | Professional | None | $22.39 | $23.99 | $31.62 |
Priority Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $22.39 | Professional | None | $19.95 | $19.95 | $22.39 |
United Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $30.90 | Professional | None | $22.91 | $22.91 | $30.90 |
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 $11.22 Median $11.75 Typical High $37.15 | Professional | 52 · Reduced service | $11.22 | $11.75 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.68 Typical High $14.79 | Professional | 53 · Discontinued | $4.47 | $4.68 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.47 Typical High $11.22 | Professional | 55 · Aftercare only | $3.39 | $3.47 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.34 Typical High $7.41 | Professional | 56 · Pre-op care only | $2.24 | $2.34 | $7.41 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $20.42 Median $21.88 Typical High $22.91 | Professional | JW · Drug discarded | $20.42 | $21.88 | $22.91 |
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· 26th of 51
$23.44
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.