How much rates vary
Facilitymedian $174 · 10th to 90th $76 to $513Professionalmedian $93 · 10th to 90th $58 to $120
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 $67.61 Median $117.49 Typical High $117.49 | Facility | None | $67.61 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $117.49 | Professional | None | $67.61 | $67.61 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $58.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $23.44 | Professional | 53 · Discontinued | $13.49 | $13.49 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $17.38 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $11.75 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $11.75 |
BCBS Michigan Setting Facility Modifier None Typical Low $141.25 Median $346.74 Typical High $660.69 | Facility | None | $141.25 | $346.74 | $660.69 |
BCBS Michigan Setting Professional Modifier None Typical Low $112.20 Median $117.49 Typical High $117.49 | Professional | None | $112.20 | $117.49 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $134.90 | Professional | None | $54.95 | $75.86 | $134.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $67.61 Median $229.09 Typical High $251.19 | Facility | None | $67.61 | $229.09 | $251.19 |
Health Alliance Plan Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $120.23 | Professional | None | $67.61 | $93.33 | $120.23 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $33.11 | $33.11 | $33.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $13.49 | $13.49 | $13.49 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $10.00 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $6.76 |
Priority Health Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Priority Health Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $128.82 | Professional | None | $54.95 | $75.86 | $128.82 |
United Setting Facility Modifier None Typical Low $77.62 Median $87.10 Typical High $158.49 | Facility | None | $77.62 | $87.10 | $158.49 |
United Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $83.18 | Professional | None | $47.86 | $57.54 | $83.18 |
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 $117.49 Median $117.49 Typical High $117.49 | Professional | RR · Rental | $117.49 | $117.49 | $117.49 |
Where Michigan sits
The same service costs 4.4 times more in Kansas than in Vermont. 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· 16th of 51
$93.33
KS $245VT $56.23
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.