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 $18.62 Median $52.48 Typical High $58.88 | Facility | None | $18.62 | $52.48 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $53.70 | Professional | None | $18.20 | $18.62 | $53.70 |
BCBS Michigan Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
BCBS Michigan Setting Professional Modifier None Typical Low $28.84 Median $30.20 Typical High $33.11 | Professional | None | $28.84 | $30.20 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $30.20 Typical High $30.20 | Professional | None | $18.20 | $30.20 | $30.20 |
Health Alliance Plan Setting Facility Modifier None Typical Low $25.12 Median $48.98 Typical High $58.88 | Facility | None | $25.12 | $48.98 | $58.88 |
Health Alliance Plan Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $27.54 | Professional | None | $18.20 | $18.62 | $27.54 |
Priority Health Setting Professional Modifier None Typical Low $18.20 Median $30.20 Typical High $30.20 | Professional | None | $18.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $23.99 | Professional | None | $18.20 | $18.20 | $23.99 |
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 $9.12 Median $9.33 Typical High $26.92 | Professional | 52 · Reduced service | $9.12 | $9.33 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.72 Typical High $10.72 | Professional | 53 · Discontinued | $3.63 | $3.72 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.82 Typical High $8.13 | Professional | 55 · Aftercare only | $2.69 | $2.82 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.86 Typical High $5.37 | Professional | 56 · Pre-op care only | $1.82 | $1.86 | $5.37 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $26.92 Median $28.18 Typical High $29.51 | Professional | JW · Drug discarded | $26.92 | $28.18 | $29.51 |
Where Michigan sits
The same service costs 1.6 times more in Arizona than in North Dakota. 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· 13th of 51
$20.89
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.