How much rates vary
Facilitymedian $224 · 10th to 90th $87 to $676Professionalmedian $120 · 10th to 90th $72 to $158
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 $91.20 Median $154.88 Typical High $154.88 | Facility | None | $91.20 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $154.88 | Professional | None | $91.20 | $91.20 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $77.62 | Professional | 52 · Reduced service | $44.67 | $44.67 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $30.90 | Professional | 53 · Discontinued | $18.20 | $18.20 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $23.44 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $15.49 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $15.49 |
BCBS Michigan Setting Facility Modifier None Typical Low $186.21 Median $457.09 Typical High $870.96 | Facility | None | $186.21 | $457.09 | $870.96 |
BCBS Michigan Setting Professional Modifier None Typical Low $147.91 Median $154.88 Typical High $154.88 | Professional | None | $147.91 | $154.88 | $154.88 |
CareSource Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $87.10 Typical High $169.82 | Professional | None | $63.10 | $87.10 | $169.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $89.13 Median $302.00 Typical High $331.13 | Facility | None | $89.13 | $302.00 | $331.13 |
Health Alliance Plan Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $158.49 | Professional | None | $89.13 | $117.49 | $158.49 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $44.67 | $44.67 | $44.67 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $13.18 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $8.91 |
Priority Health Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Priority Health Setting Professional Modifier None Typical Low $63.10 Median $87.10 Typical High $154.88 | Professional | None | $63.10 | $87.10 | $154.88 |
United Setting Facility Modifier None Typical Low $39.81 Median $69.18 Typical High $186.21 | Facility | None | $39.81 | $69.18 | $186.21 |
United Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $104.71 | Professional | None | $57.54 | $72.44 | $104.71 |
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 $154.88 Median $154.88 Typical High $154.88 | Professional | RR · Rental | $154.88 | $154.88 | $154.88 |
Where Michigan sits
The same service costs 2.5 times more in Arkansas 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· 12th of 51
$123
AR $158FL $64.57
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.