How much rates vary
Facilitymedian $166 · 10th to 90th $78 to $513Professionalmedian $102 · 10th to 90th $60 to $132
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 $74.13 Median $128.82 Typical High $128.82 | Facility | None | $74.13 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $128.82 | Professional | None | $74.13 | $74.13 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $64.57 | Professional | 52 · Reduced service | $37.15 | $37.15 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $25.70 | Professional | 53 · Discontinued | $14.79 | $14.79 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $19.50 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $12.88 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $12.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $154.88 Median $380.19 Typical High $724.44 | Facility | None | $154.88 | $380.19 | $724.44 |
BCBS Michigan Setting Professional Modifier None Typical Low $123.03 Median $128.82 Typical High $128.82 | Professional | None | $123.03 | $128.82 | $128.82 |
CareSource Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $85.11 | Facility | None | $77.62 | $77.62 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $151.36 | Professional | None | $56.23 | $77.62 | $151.36 |
Health Alliance Plan Setting Facility Modifier None Typical Low $74.13 Median $251.19 Typical High $275.42 | Facility | None | $74.13 | $251.19 | $275.42 |
Health Alliance Plan Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $131.83 | Professional | None | $74.13 | $100.00 | $131.83 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $14.79 | $14.79 | $14.79 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $10.96 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $7.41 |
Priority Health Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $85.11 | Facility | None | $77.62 | $77.62 | $85.11 |
Priority Health Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $134.90 | Professional | None | $56.23 | $77.62 | $134.90 |
United Setting Facility Modifier None Typical Low $60.26 Median $81.28 Typical High $165.96 | Facility | None | $60.26 | $81.28 | $165.96 |
United Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $91.20 | Professional | None | $50.12 | $60.26 | $91.20 |
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 $128.82 Median $128.82 Typical High $128.82 | Professional | RR · Rental | $128.82 | $128.82 | $128.82 |
Where Michigan sits
The same service costs 3.1 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
$102
HI $174DE $56.23
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.