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 $218.78 Median $616.60 Typical High $691.83 | Facility | None | $218.78 | $616.60 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $218.78 Typical High $295.12 | Professional | None | $213.80 | $218.78 | $295.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $229.09 Median $446.68 Typical High $851.14 | Facility | None | $229.09 | $446.68 | $851.14 |
BCBS Michigan Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $239.88 | Professional | None | $208.93 | $218.78 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $245.47 Median $575.44 Typical High $691.83 | Facility | None | $245.47 | $575.44 | $691.83 |
Health Alliance Plan Setting Professional Modifier None Typical Low $213.80 Median $218.78 Typical High $288.40 | Professional | None | $213.80 | $218.78 | $288.40 |
Priority Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
United Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $288.40 | Professional | None | $213.80 | $213.80 | $288.40 |
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 $107.15 Median $109.65 Typical High $151.36 | Professional | 52 · Reduced service | $107.15 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $43.65 Typical High $60.26 | Professional | 53 · Discontinued | $42.66 | $43.65 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $33.11 Typical High $44.67 | Professional | 55 · Aftercare only | $32.36 | $33.11 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.88 Typical High $30.20 | Professional | 56 · Pre-op care only | $21.38 | $21.88 | $30.20 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $194.98 Median $204.17 Typical High $213.80 | Professional | JW · Drug discarded | $194.98 | $204.17 | $213.80 |
Where Michigan sits
The same service costs 7.6 times more in Alabama than in New Mexico. 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· 19th of 51
$219
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.