How much rates vary
Facilitymedian $1,230 · 10th to 90th $692 to $2,884Professionalmedian $661 · 10th to 90th $398 to $891
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 $380.19 Median $660.69 Typical High $660.69 | Facility | None | $380.19 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $758.58 | Professional | None | $380.19 | $380.19 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $338.84 | Professional | 52 · Reduced service | $190.55 | $190.55 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $134.90 | Professional | 53 · Discontinued | $75.86 | $75.86 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $102.33 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $67.61 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $67.61 |
BCBS Michigan Setting Facility Modifier None Typical Low $794.33 Median $1,949.84 Typical High $3,715.35 | Facility | None | $794.33 | $1,949.84 | $3,715.35 |
BCBS Michigan Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $660.69 | Professional | None | $630.96 | $660.69 | $660.69 |
CareSource Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,230.27 | Professional | None | $549.54 | $758.58 | $1,230.27 |
Health Alliance Plan Setting Facility Modifier None Typical Low $467.74 Median $1,778.28 Typical High $1,949.84 | Facility | None | $467.74 | $1,778.28 | $1,949.84 |
Health Alliance Plan Setting Professional Modifier None Typical Low $467.74 Median $676.08 Typical High $891.25 | Professional | None | $467.74 | $676.08 | $891.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $234.42 | $234.42 | $234.42 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $93.33 | $93.33 | $93.33 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $46.77 |
Priority Health Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Priority Health Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,230.27 | Professional | None | $549.54 | $758.58 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,479.11 | Facility | None | $1,047.13 | $1,230.27 | $1,479.11 |
United Setting Professional Modifier None Typical Low $457.09 Median $588.84 Typical High $933.25 | Professional | None | $457.09 | $588.84 | $933.25 |
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 $660.69 Median $660.69 Typical High $660.69 | Professional | RR · Rental | $660.69 | $660.69 | $660.69 |
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· 26th of 51
$661
HI $1,230UT $479
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.