How much rates vary
Facilitymedian $389 · 10th to 90th $263 to $1,175Professionalmedian $224 · 10th to 90th $126 to $324
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 $151.36 Median $263.03 Typical High $263.03 | Facility | None | $151.36 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $154.88 Typical High $281.84 | Professional | None | $151.36 | $154.88 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $134.90 | Professional | 52 · Reduced service | $75.86 | $75.86 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $54.95 | Professional | 53 · Discontinued | $30.90 | $30.90 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $40.74 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $27.54 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $27.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $316.23 Median $776.25 Typical High $1,479.11 | Facility | None | $316.23 | $776.25 | $1,479.11 |
BCBS Michigan Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $263.03 | Professional | None | $251.19 | $263.03 | $263.03 |
CareSource Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $489.78 | Professional | None | $218.78 | $302.00 | $489.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $186.21 Median $295.12 Typical High $316.23 | Facility | None | $186.21 | $295.12 | $316.23 |
Health Alliance Plan Setting Professional Modifier None Typical Low $109.65 Median $186.21 Typical High $323.59 | Professional | None | $109.65 | $186.21 | $323.59 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $28.18 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $18.62 |
Priority Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Priority Health Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $489.78 | Professional | None | $218.78 | $302.00 | $489.78 |
United Setting Facility Modifier None Typical Low $416.87 Median $489.78 Typical High $588.84 | Facility | None | $416.87 | $489.78 | $588.84 |
United Setting Professional Modifier None Typical Low $181.97 Median $234.42 Typical High $371.54 | Professional | None | $181.97 | $234.42 | $371.54 |
3 more rates 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 $263.03 Median $263.03 Typical High $263.03 | Professional | RR · Rental | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier RR · Rental Typical Low $25.70 Median $30.20 Typical High $30.20 | Professional | RR · Rental | $25.70 | $30.20 | $30.20 |
Priority Health Setting Professional Modifier RR · Rental Typical Low $25.70 Median $30.20 Typical High $30.20 | Professional | RR · Rental | $25.70 | $30.20 | $30.20 |
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· 42nd of 51
$234
HI $490UT $191
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.