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 $33.11 Median $91.20 Typical High $102.33 | Facility | None | $33.11 | $91.20 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $48.98 | Professional | None | $32.36 | $33.11 | $48.98 |
BCBS Michigan Setting Facility Modifier None Typical Low $33.11 Median $40.74 Typical High $114.82 | Facility | None | $33.11 | $40.74 | $114.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $33.88 | Professional | None | $29.51 | $30.90 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $32.36 | Professional | None | $30.90 | $30.90 | $32.36 |
Health Alliance Plan Setting Facility Modifier None Typical Low $34.67 Median $87.10 Typical High $102.33 | Facility | None | $34.67 | $87.10 | $102.33 |
Health Alliance Plan Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $43.65 | Professional | None | $32.36 | $33.11 | $43.65 |
Priority Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $32.36 | Professional | None | $30.90 | $30.90 | $32.36 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $42.66 | Professional | None | $31.62 | $31.62 | $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 $16.22 Median $16.60 Typical High $36.31 | Professional | 52 · Reduced service | $16.22 | $16.60 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.61 Typical High $14.45 | Professional | 53 · Discontinued | $6.46 | $6.61 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $5.01 Typical High $10.72 | Professional | 55 · Aftercare only | $4.79 | $5.01 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.31 Typical High $7.24 | Professional | 56 · Pre-op care only | $3.24 | $3.31 | $7.24 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $27.54 Median $28.84 Typical High $30.20 | Professional | JW · Drug discarded | $27.54 | $28.84 | $30.20 |
Where Michigan sits
The same service costs 2.0 times more in Alaska than in Oklahoma. 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· 25th of 51
$33.11
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.