How much rates vary
Facilitymedian $41 · 10th to 90th $22 to $138Professionalmedian $23 · 10th to 90th $15 to $32
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 $31.62 Typical High $31.62 | Facility | None | $18.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $18.62 Typical High $31.62 | Professional | None | $17.78 | $18.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $15.85 | Professional | 52 · Reduced service | $9.33 | $9.33 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $6.31 | Professional | 53 · Discontinued | $3.72 | $3.72 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $2.75 Typical High $4.79 | Professional | 55 · Aftercare only | $2.75 | $2.75 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.86 Typical High $3.16 | Professional | 56 · Pre-op care only | $1.86 | $1.86 | $3.16 |
BCBS Michigan Setting Facility Modifier None Typical Low $38.02 Median $93.33 Typical High $177.83 | Facility | None | $38.02 | $93.33 | $177.83 |
BCBS Michigan Setting Professional Modifier None Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | None | $30.20 | $31.62 | $31.62 |
CareSource Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $24.55 | Facility | None | $22.39 | $22.39 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $37.15 | Professional | None | $16.22 | $22.39 | $37.15 |
Health Alliance Plan Setting Facility Modifier None Typical Low $18.20 Median $61.66 Typical High $67.61 | Facility | None | $18.20 | $61.66 | $67.61 |
Health Alliance Plan Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $32.36 | Professional | None | $18.20 | $22.91 | $32.36 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 52 · Reduced service | $9.12 | $9.12 | $9.12 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $3.63 | $3.63 | $3.63 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | 55 · Aftercare only | $2.75 | $2.75 | $2.75 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.82 | $1.82 | $1.82 |
Priority Health Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $24.55 | Facility | None | $22.39 | $22.39 | $24.55 |
Priority Health Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $33.11 | Professional | None | $16.22 | $22.39 | $33.11 |
United Setting Facility Modifier None Typical Low $19.95 Median $28.18 Typical High $40.74 | Facility | None | $19.95 | $28.18 | $40.74 |
United Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $22.39 | Professional | None | $12.30 | $14.79 | $22.39 |
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 $31.62 Median $31.62 Typical High $31.62 | Professional | RR · Rental | $31.62 | $31.62 | $31.62 |
Where Michigan sits
The same service costs 3.7 times more in Hawaii than in Florida. 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
$22.91
HI $60.26FL $16.22
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.