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 $588.84 Median $1,862.09 Typical High $2,089.30 | Facility | None | $588.84 | $1,862.09 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $588.84 Typical High $851.14 | Professional | None | $562.34 | $588.84 | $851.14 |
BCBS Michigan Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
BCBS Michigan Setting Professional Modifier None Typical Low $758.58 Median $794.33 Typical High $870.96 | Professional | None | $758.58 | $794.33 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $794.33 | Professional | None | $562.34 | $794.33 | $794.33 |
Health Alliance Plan Setting Facility Modifier None Typical Low $870.96 Median $1,659.59 Typical High $2,089.30 | Facility | None | $870.96 | $1,659.59 | $2,089.30 |
Health Alliance Plan Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $794.33 | Professional | None | $562.34 | $660.69 | $794.33 |
Priority Health Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $794.33 | Professional | None | $562.34 | $794.33 | $794.33 |
United Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
United Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $870.96 | Professional | None | $660.69 | $660.69 | $870.96 |
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 $281.84 Median $288.40 Typical High $1,047.13 | Professional | 52 · Reduced service | $281.84 | $288.40 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $117.49 Typical High $416.87 | Professional | 53 · Discontinued | $112.20 | $117.49 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $87.10 Typical High $316.23 | Professional | 55 · Aftercare only | $85.11 | $87.10 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $58.88 Typical High $208.93 | Professional | 56 · Pre-op care only | $56.23 | $58.88 | $208.93 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $707.95 Median $758.58 Typical High $794.33 | Professional | JW · Drug discarded | $707.95 | $758.58 | $794.33 |
Where Michigan sits
The same service costs 2.7 times more in Wyoming than in Georgia. 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· 15th of 51
$676
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.