How much rates vary
Facilitymedian $891 · 10th to 90th $380 to $3,236Professionalmedian $589 · 10th to 90th $347 to $759
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 $426.58 Median $741.31 Typical High $741.31 | Facility | None | $426.58 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $741.31 | Professional | None | $426.58 | $426.58 | $741.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $371.54 | Professional | 52 · Reduced service | $213.80 | $213.80 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $147.91 | Professional | 53 · Discontinued | $87.10 | $87.10 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $112.20 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $74.13 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $74.13 |
Ambetter Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
BCBS Michigan Setting Facility Modifier None Typical Low $891.25 Median $2,187.76 Typical High $4,168.69 | Facility | None | $891.25 | $2,187.76 | $4,168.69 |
BCBS Michigan Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $741.31 | Professional | None | $707.95 | $741.31 | $741.31 |
CareSource Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $416.87 | Facility | None | $380.19 | $380.19 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $724.44 | Professional | None | $275.42 | $380.19 | $724.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $426.58 Median $1,445.44 Typical High $1,584.89 | Facility | None | $426.58 | $1,445.44 | $1,584.89 |
Health Alliance Plan Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $758.58 | Professional | None | $426.58 | $588.84 | $758.58 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
Priority Health Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $416.87 | Facility | None | $380.19 | $380.19 | $416.87 |
Priority Health Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $645.65 | Professional | None | $275.42 | $380.19 | $645.65 |
United Setting Facility Modifier None Typical Low $389.05 Median $467.74 Typical High $794.33 | Facility | None | $389.05 | $467.74 | $794.33 |
United Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $467.74 | Professional | None | $239.88 | $346.74 | $467.74 |
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 $741.31 Median $741.31 Typical High $741.31 | Professional | RR · Rental | $741.31 | $741.31 | $741.31 |
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· 11th of 51
$603
HI $1,023FL $275
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.