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 $537.03 Median $1,445.44 Typical High $1,621.81 | Facility | None | $537.03 | $1,445.44 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $724.44 | Professional | None | $512.86 | $537.03 | $724.44 |
BCBS Michigan Setting Facility Modifier None Typical Low $602.56 Median $707.95 Typical High $977.24 | Facility | None | $602.56 | $707.95 | $977.24 |
BCBS Michigan Setting Professional Modifier None Typical Low $501.19 Median $524.81 Typical High $575.44 | Professional | None | $501.19 | $524.81 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Health Alliance Plan Setting Facility Modifier None Typical Low $549.54 Median $1,380.38 Typical High $1,621.81 | Facility | None | $549.54 | $1,380.38 | $1,621.81 |
Health Alliance Plan Setting Professional Modifier None Typical Low $512.86 Median $524.81 Typical High $707.95 | Professional | None | $512.86 | $524.81 | $707.95 |
Priority Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
United Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $676.08 | Professional | None | $512.86 | $512.86 | $676.08 |
6 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 $257.04 Median $263.03 Typical High $562.34 | Professional | 52 · Reduced service | $257.04 | $263.03 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $107.15 Typical High $223.87 | Professional | 53 · Discontinued | $102.33 | $107.15 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $398.11 Typical High $851.14 | Professional | 54 · Surgery only | $389.05 | $398.11 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $79.43 Typical High $169.82 | Professional | 55 · Aftercare only | $77.62 | $79.43 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $53.70 Typical High $112.20 | Professional | 56 · Pre-op care only | $51.29 | $53.70 | $112.20 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $467.74 Median $489.78 Typical High $524.81 | Professional | JW · Drug discarded | $467.74 | $489.78 | $524.81 |
Where Michigan sits
The same service costs 1.6 times more in Arizona than in Wyoming. 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· 24th of 51
$525
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.