How much rates vary
Facilitymedian $417 · 10th to 90th $234 to $977Professionalmedian $224 · 10th to 90th $135 to $372
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 $128.82 Median $223.87 Typical High $223.87 | Facility | None | $128.82 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $229.09 | Professional | None | $128.82 | $128.82 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $114.82 | Professional | 52 · Reduced service | $64.57 | $64.57 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $45.71 | Professional | 53 · Discontinued | $25.70 | $25.70 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $34.67 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $22.91 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $22.91 |
BCBS Michigan Setting Facility Modifier None Typical Low $269.15 Median $660.69 Typical High $1,258.93 | Facility | None | $269.15 | $660.69 | $1,258.93 |
BCBS Michigan Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | None | $213.80 | $223.87 | $223.87 |
CareSource Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $275.42 Typical High $416.87 | Professional | None | $204.17 | $275.42 | $416.87 |
Health Alliance Plan Setting Facility Modifier None Typical Low $158.49 Median $776.25 Typical High $831.76 | Facility | None | $158.49 | $776.25 | $831.76 |
Health Alliance Plan Setting Professional Modifier None Typical Low $158.49 Median $288.40 Typical High $380.19 | Professional | None | $158.49 | $288.40 | $380.19 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $23.44 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $15.85 |
Priority Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Priority Health Setting Professional Modifier None Typical Low $204.17 Median $275.42 Typical High $416.87 | Professional | None | $204.17 | $275.42 | $416.87 |
United Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $501.19 | Facility | None | $354.81 | $416.87 | $501.19 |
United Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $309.03 | Professional | None | $154.88 | $199.53 | $309.03 |
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 $223.87 Median $223.87 Typical High $223.87 | Professional | RR · Rental | $223.87 | $223.87 | $223.87 |
Where Michigan sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 25th of 51
$224
HI $417UT $162
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.