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 $11.75 Median $33.11 Typical High $37.15 | Facility | None | $11.75 | $33.11 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.75 Typical High $16.98 | Professional | None | $11.48 | $11.75 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $1.78 Typical High $2.09 | Professional | 55 · Aftercare only | $1.70 | $1.78 | $2.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.17 Typical High $1.41 | Professional | 56 · Pre-op care only | $1.12 | $1.17 | $1.41 |
BCBS Michigan Setting Facility Modifier None Typical Low $12.02 Median $23.44 Typical High $44.67 | Facility | None | $12.02 | $23.44 | $44.67 |
BCBS Michigan Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $12.88 | Professional | None | $10.96 | $11.48 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Health Alliance Plan Setting Facility Modifier None Typical Low $12.30 Median $30.20 Typical High $37.15 | Facility | None | $12.30 | $30.20 | $37.15 |
Health Alliance Plan Setting Professional Modifier None Typical Low $11.48 Median $12.02 Typical High $15.49 | Professional | None | $11.48 | $12.02 | $15.49 |
Priority Health Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $15.49 | Professional | None | $11.48 | $11.48 | $15.49 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $10.23 Median $10.96 Typical High $11.48 | Professional | JW · Drug discarded | $10.23 | $10.96 | $11.48 |
Where Michigan sits
The same service costs 1.5 times more in Alaska than in West Virginia. 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
$11.75
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.