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 $1,202.26 Median $1,288.25 Typical High $3,801.89 | Facility | None | $1,202.26 | $1,288.25 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,819.70 | Professional | None | $1,202.26 | $1,202.26 | $1,819.70 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,318.26 Median $2,630.27 Typical High $5,011.87 | Facility | None | $1,318.26 | $2,630.27 | $5,011.87 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $1,174.90 | Professional | None | $1,000.00 | $1,071.52 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,288.25 | Professional | None | $1,071.52 | $1,071.52 | $1,288.25 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,202.26 Median $3,388.44 Typical High $4,677.35 | Facility | None | $1,202.26 | $3,388.44 | $4,677.35 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $2,187.76 | Professional | None | $1,202.26 | $1,621.81 | $2,187.76 |
Priority Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,288.25 | Professional | None | $1,071.52 | $1,071.52 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,513.56 | $2,041.74 |
4 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 $602.56 Median $602.56 Typical High $912.01 | Professional | 52 · Reduced service | $602.56 | $602.56 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $363.08 | Professional | 53 · Discontinued | $245.47 | $245.47 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $275.42 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $181.97 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $181.97 |
Where Michigan sits
The same service costs 1.8 times more in Alaska than in Hawaii. 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· 11th of 51
$1,514
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.