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 $446.68 Median $1,258.93 Typical High $1,380.38 | Facility | None | $446.68 | $1,258.93 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $691.83 | Professional | None | $446.68 | $446.68 | $691.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $354.81 Median $707.95 Typical High $1,380.38 | Facility | None | $354.81 | $707.95 | $1,380.38 |
BCBS Michigan Setting Professional Modifier None Typical Low $323.59 Median $346.74 Typical High $380.19 | Professional | None | $323.59 | $346.74 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $478.63 | Professional | None | $436.52 | $436.52 | $478.63 |
Health Alliance Plan Setting Facility Modifier None Typical Low $501.19 Median $1,258.93 Typical High $1,445.44 | Facility | None | $501.19 | $1,258.93 | $1,445.44 |
Health Alliance Plan Setting Professional Modifier None Typical Low $446.68 Median $489.78 Typical High $676.08 | Professional | None | $446.68 | $489.78 | $676.08 |
Priority Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $478.63 | Professional | None | $436.52 | $436.52 | $478.63 |
United Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $616.60 | Professional | None | $467.74 | $467.74 | $616.60 |
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 $223.87 Median $223.87 Typical High $346.74 | Professional | 52 · Reduced service | $223.87 | $223.87 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $138.04 | Professional | 53 · Discontinued | $89.13 | $89.13 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $102.33 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $69.18 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $69.18 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $309.03 Median $323.59 Typical High $338.84 | Professional | JW · Drug discarded | $309.03 | $323.59 | $338.84 |
Where Michigan sits
The same service costs 2.3 times more in Arizona than in Idaho. 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
$468
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.