How much rates vary
Facilitymedian $2,884 · 10th to 90th $933 to $7,413Professionalmedian $1,230 · 10th to 90th $813 to $1,738
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 $977.24 Median $1,023.29 Typical High $1,023.29 | Facility | None | $977.24 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,023.29 | Professional | None | $977.24 | $977.24 | $1,023.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $489.78 Typical High $501.19 | Professional | 52 · Reduced service | $489.78 | $489.78 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | 53 · Discontinued | $194.98 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $151.36 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $102.33 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,041.74 Median $5,011.87 Typical High $9,332.54 | Facility | None | $2,041.74 | $5,011.87 | $9,332.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,584.89 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,584.89 | $1,698.24 | $1,698.24 |
CareSource Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $1,202.26 | Professional | None | $691.83 | $933.25 | $1,202.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $954.99 Median $3,311.31 Typical High $3,548.13 | Facility | None | $954.99 | $3,311.31 | $3,548.13 |
Health Alliance Plan Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,737.80 | Professional | None | $954.99 | $1,348.96 | $1,737.80 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $478.63 | $478.63 | $478.63 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $144.54 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $95.50 |
Priority Health Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Priority Health Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $1,412.54 | Professional | None | $691.83 | $933.25 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $2,041.74 Typical High $2,454.71 | Facility | None | $1,737.80 | $2,041.74 | $2,454.71 |
United Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,148.15 | Professional | None | $630.96 | $794.33 | $1,148.15 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | RR · Rental | $1,698.24 | $1,698.24 | $1,698.24 |
Where Michigan sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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· 18th of 51
$1,230
HI $1,778DE $692
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.