How much rates vary
Facilitymedian $617 · 10th to 90th $331 to $1,413Professionalmedian $316 · 10th to 90th $191 to $501
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 $186.21 Median $316.23 Typical High $316.23 | Facility | None | $186.21 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $316.23 | Professional | None | $186.21 | $186.21 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $158.49 | Professional | 52 · Reduced service | $93.33 | $93.33 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $63.10 | Professional | 53 · Discontinued | $37.15 | $37.15 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $27.54 Typical High $47.86 | Professional | 55 · Aftercare only | $27.54 | $27.54 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $31.62 |
BCBS Michigan Setting Facility Modifier None Typical Low $380.19 Median $933.25 Typical High $1,778.28 | Facility | None | $380.19 | $933.25 | $1,778.28 |
BCBS Michigan Setting Professional Modifier None Typical Low $302.00 Median $316.23 Typical High $316.23 | Professional | None | $302.00 | $316.23 | $316.23 |
CareSource Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna 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 Professional Modifier None Typical Low $281.84 Median $380.19 Typical High $575.44 | Professional | None | $281.84 | $380.19 | $575.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $218.78 Median $1,047.13 Typical High $1,148.15 | Facility | None | $218.78 | $1,047.13 | $1,148.15 |
Health Alliance Plan Setting Professional Modifier None Typical Low $218.78 Median $389.05 Typical High $512.86 | Professional | None | $218.78 | $389.05 | $512.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $109.65 | $109.65 | $109.65 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $44.67 | $44.67 | $44.67 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $33.11 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $21.88 |
Priority Health Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Priority Health Setting Professional Modifier None Typical Low $281.84 Median $380.19 Typical High $575.44 | Professional | None | $281.84 | $380.19 | $575.44 |
United Setting Facility Modifier None Typical Low $794.33 Median $933.25 Typical High $1,122.02 | Facility | None | $794.33 | $933.25 | $1,122.02 |
United Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $426.58 | Professional | None | $213.80 | $275.42 | $426.58 |
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 $316.23 Median $316.23 Typical High $316.23 | Professional | RR · Rental | $316.23 | $316.23 | $316.23 |
Where Michigan sits
The same service costs 3.0 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· 26th of 51
$316
HI $661UT $224
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.