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 $549.54 Median $1,513.56 Typical High $1,698.24 | Facility | None | $549.54 | $1,513.56 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $549.54 Typical High $588.84 | Professional | None | $524.81 | $549.54 | $588.84 |
BCBS Michigan Setting Facility Modifier None Typical Low $575.44 Median $676.08 Typical High $933.25 | Facility | None | $575.44 | $676.08 | $933.25 |
BCBS Michigan Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $588.84 | Professional | None | $512.86 | $537.03 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | None | $467.74 | $467.74 | $524.81 |
Health Alliance Plan Setting Facility Modifier None Typical Low $562.34 Median $1,445.44 Typical High $1,698.24 | Facility | None | $562.34 | $1,445.44 | $1,698.24 |
Health Alliance Plan Setting Professional Modifier None Typical Low $524.81 Median $549.54 Typical High $724.44 | Professional | None | $524.81 | $549.54 | $724.44 |
Priority Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | None | $467.74 | $467.74 | $524.81 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $707.95 | Professional | None | $524.81 | $524.81 | $707.95 |
4 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 $263.03 Median $275.42 Typical High $281.84 | Professional | 52 · Reduced service | $263.03 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $109.65 Typical High $112.20 | Professional | 53 · Discontinued | $107.15 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $81.28 Typical High $83.18 | Professional | 55 · Aftercare only | $79.43 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $54.95 Typical High $56.23 | Professional | 56 · Pre-op care only | $52.48 | $54.95 | $56.23 |
Where Michigan sits
The same service costs 1.9 times more in Alaska than in 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· 20th of 51
$537
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.