How much rates vary
Facilitymedian $138 · 10th to 90th $47 to $316Professionalmedian $58 · 10th to 90th $36 to $74
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 $41.69 Median $42.66 Typical High $72.44 | Facility | None | $41.69 | $42.66 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $72.44 | Professional | None | $41.69 | $41.69 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $36.31 | Professional | 52 · Reduced service | $20.89 | $20.89 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $14.45 | Professional | 53 · Discontinued | $8.32 | $8.32 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $10.72 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $7.24 | Professional | 56 · Pre-op care only | $4.17 | $4.17 | $7.24 |
BCBS Michigan Setting Facility Modifier None Typical Low $87.10 Median $213.80 Typical High $407.38 | Facility | None | $87.10 | $213.80 | $407.38 |
BCBS Michigan Setting Professional Modifier None Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | None | $69.18 | $72.44 | $72.44 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $83.18 | Professional | None | $33.88 | $46.77 | $83.18 |
Health Alliance Plan Setting Facility Modifier None Typical Low $56.23 Median $151.36 Typical High $162.18 | Facility | None | $56.23 | $151.36 | $162.18 |
Health Alliance Plan Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $74.13 | Professional | None | $40.74 | $57.54 | $74.13 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 55 · Aftercare only | $6.17 | $6.17 | $6.17 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $4.07 | $4.07 | $4.07 |
Priority Health Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Priority Health Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $81.28 | Professional | None | $33.88 | $46.77 | $81.28 |
United Setting Facility Modifier None Typical Low $19.05 Median $36.31 Typical High $97.72 | Facility | None | $19.05 | $36.31 | $97.72 |
United Setting Professional Modifier None Typical Low $30.20 Median $36.31 Typical High $51.29 | Professional | None | $30.20 | $36.31 | $51.29 |
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 $72.44 Median $72.44 Typical High $72.44 | Professional | RR · Rental | $72.44 | $72.44 | $72.44 |
Where Michigan sits
The same service costs 2.9 times more in Kansas 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· 19th of 51
$57.54
KS $97.72DE $33.88
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.