How much rates vary
Facilitymedian $1,413 · 10th to 90th $794 to $3,388Professionalmedian $759 · 10th to 90th $447 to $1,288
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 $446.68 Median $758.58 Typical High $758.58 | Facility | None | $446.68 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $870.96 | Professional | None | $446.68 | $446.68 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $218.78 Typical High $398.11 | Professional | 52 · Reduced service | $218.78 | $218.78 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $158.49 | Professional | 53 · Discontinued | $89.13 | $89.13 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $117.49 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $79.43 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $79.43 |
BCBS Michigan Setting Facility Modifier None Typical Low $912.01 Median $2,238.72 Typical High $4,265.80 | Facility | None | $912.01 | $2,238.72 | $4,265.80 |
BCBS Michigan Setting Professional Modifier None Typical Low $724.44 Median $758.58 Typical High $758.58 | Professional | None | $724.44 | $758.58 | $758.58 |
CareSource Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $891.25 | Facility | None | $812.83 | $812.83 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $1,412.54 | Professional | None | $588.84 | $812.83 | $1,412.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $562.34 Median $2,691.53 Typical High $2,951.21 | Facility | None | $562.34 | $2,691.53 | $2,951.21 |
Health Alliance Plan Setting Professional Modifier None Typical Low $562.34 Median $1,000.00 Typical High $1,318.26 | Professional | None | $562.34 | $1,000.00 | $1,318.26 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $275.42 | $275.42 | $275.42 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $83.18 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $56.23 |
Priority Health Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $891.25 | Facility | None | $812.83 | $812.83 | $891.25 |
Priority Health Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $1,412.54 | Professional | None | $588.84 | $812.83 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $1,737.80 | Facility | None | $1,230.27 | $1,445.44 | $1,737.80 |
United Setting Professional Modifier None Typical Low $524.81 Median $741.31 Typical High $1,047.13 | Professional | None | $524.81 | $741.31 | $1,047.13 |
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 $758.58 Median $758.58 Typical High $758.58 | Professional | RR · Rental | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier RR · Rental Typical Low $69.18 Median $81.28 Typical High $81.28 | Professional | RR · Rental | $69.18 | $81.28 | $81.28 |
Priority Health Setting Professional Modifier RR · Rental Typical Low $69.18 Median $81.28 Typical High $81.28 | Professional | RR · Rental | $69.18 | $81.28 | $81.28 |
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· 23rd of 51
$759
HI $1,445UT $550
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.