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 $302.00 Median $616.60 Typical High $691.83 | Facility | None | $302.00 | $616.60 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $302.00 Typical High $446.68 | Professional | None | $295.12 | $302.00 | $446.68 |
BCBS Michigan Setting Facility Modifier None Typical Low $316.23 Median $616.60 Typical High $1,202.26 | Facility | None | $316.23 | $616.60 | $1,202.26 |
BCBS Michigan Setting Professional Modifier None Typical Low $57.54 Median $61.66 Typical High $67.61 | Professional | None | $57.54 | $61.66 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $295.12 | Professional | None | $81.28 | $81.28 | $295.12 |
Health Alliance Plan Setting Facility Modifier None Typical Low $316.23 Median $616.60 Typical High $870.96 | Facility | None | $316.23 | $616.60 | $870.96 |
Health Alliance Plan Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $416.87 | Professional | None | $218.78 | $295.12 | $416.87 |
Priority Health Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $295.12 | Professional | None | $81.28 | $81.28 | $295.12 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $288.40 | Professional | None | $213.80 | $213.80 | $288.40 |
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 $147.91 Median $151.36 Typical High $223.87 | Professional | 52 · Reduced service | $147.91 | $151.36 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $60.26 Typical High $89.13 | Professional | 53 · Discontinued | $58.88 | $60.26 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $45.71 Typical High $67.61 | Professional | 55 · Aftercare only | $44.67 | $45.71 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $30.20 Typical High $44.67 | Professional | 56 · Pre-op care only | $29.51 | $30.20 | $44.67 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $54.95 Median $57.54 Typical High $60.26 | Professional | JW · Drug discarded | $54.95 | $57.54 | $60.26 |
Where Michigan sits
The same service costs 6.8 times more in Wyoming 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· 19th of 51
$295
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.