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 $2.51 Median $6.92 Typical High $7.76 | Facility | None | $2.51 | $6.92 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $2.51 Typical High $7.76 | Professional | None | $2.45 | $2.51 | $7.76 |
BCBS Michigan Setting Facility Modifier None Typical Low $2.57 Median $5.13 Typical High $9.77 | Facility | None | $2.57 | $5.13 | $9.77 |
BCBS Michigan Setting Professional Modifier None Typical Low $2.34 Median $2.51 Typical High $2.75 | Professional | None | $2.34 | $2.51 | $2.75 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.45 | Professional | None | $1.95 | $1.95 | $2.45 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2.63 Median $6.61 Typical High $7.76 | Facility | None | $2.63 | $6.61 | $7.76 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2.45 Median $2.51 Typical High $3.31 | Professional | None | $2.45 | $2.51 | $3.31 |
Priority Health Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.45 | Professional | None | $1.95 | $1.95 | $2.45 |
United Setting Facility Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Facility | None | $2.45 | $2.45 | $2.45 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $3.24 | Professional | None | $2.40 | $2.40 | $3.24 |
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 $1.23 Median $1.26 Typical High $3.89 | Professional | 52 · Reduced service | $1.23 | $1.26 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.50 Typical High $1.55 | Professional | 53 · Discontinued | $0.49 | $0.50 | $1.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.37 Median $0.38 Typical High $1.17 | Professional | 55 · Aftercare only | $0.37 | $0.38 | $1.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.25 Typical High $0.78 | Professional | 56 · Pre-op care only | $0.25 | $0.25 | $0.78 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $2.24 Median $2.34 Typical High $2.45 | Professional | JW · Drug discarded | $2.24 | $2.34 | $2.45 |
Where Michigan sits
The same service costs 1.7 times more in Arizona than in Iowa. 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
$2.51
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.