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 $2,238.72 Median $2,290.87 Typical High $6,760.83 | Facility | None | $2,238.72 | $2,290.87 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $3,890.45 | Professional | None | $2,137.96 | $2,238.72 | $3,890.45 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,290.87 Median $4,466.84 Typical High $8,511.38 | Facility | None | $2,290.87 | $4,466.84 | $8,511.38 |
BCBS Michigan Setting Professional Modifier None Typical Low $2,089.30 Median $2,187.76 Typical High $2,398.83 | Professional | None | $2,089.30 | $2,187.76 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,137.96 | Professional | None | $1,778.28 | $1,778.28 | $2,137.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,238.72 Median $3,235.94 Typical High $6,309.57 | Facility | None | $2,238.72 | $3,235.94 | $6,309.57 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $2,951.21 | Professional | None | $2,137.96 | $2,238.72 | $2,951.21 |
Priority Health Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,137.96 | Professional | None | $1,778.28 | $1,778.28 | $2,137.96 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,818.38 | Professional | None | $2,137.96 | $2,137.96 | $2,818.38 |
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 $1,071.52 Median $1,122.02 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,071.52 | $1,122.02 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $446.68 Typical High $776.25 | Professional | 53 · Discontinued | $436.52 | $446.68 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $331.13 Typical High $588.84 | Professional | 55 · Aftercare only | $323.59 | $331.13 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $223.87 Typical High $389.05 | Professional | 56 · Pre-op care only | $213.80 | $223.87 | $389.05 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $1,949.84 Median $2,089.30 Typical High $2,187.76 | Professional | JW · Drug discarded | $1,949.84 | $2,089.30 | $2,187.76 |
Where Michigan sits
The same service costs 2.0 times more in Arizona than in Alabama. 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· 18th of 51
$2,188
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.