How much rates vary
Facilitymedian $30 · 10th to 90th $13 to $89Professionalmedian $17 · 10th to 90th $10 to $21
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 $12.02 Median $20.42 Typical High $20.42 | Facility | None | $12.02 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $20.42 | Professional | None | $12.02 | $12.02 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.03 Typical High $10.23 | Professional | 52 · Reduced service | $6.03 | $6.03 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $4.07 | Professional | 53 · Discontinued | $2.40 | $2.40 | $4.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.78 Median $1.78 Typical High $3.09 | Professional | 55 · Aftercare only | $1.78 | $1.78 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.20 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.20 | $1.20 | $2.04 |
BCBS Michigan Setting Facility Modifier None Typical Low $24.55 Median $60.26 Typical High $114.82 | Facility | None | $24.55 | $60.26 | $114.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $19.50 Median $20.42 Typical High $20.42 | Professional | None | $19.50 | $20.42 | $20.42 |
CareSource Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $13.49 Typical High $23.99 | Professional | None | $9.77 | $13.49 | $23.99 |
Health Alliance Plan Setting Facility Modifier None Typical Low $11.75 Median $39.81 Typical High $43.65 | Facility | None | $11.75 | $39.81 | $43.65 |
Health Alliance Plan Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $20.89 | Professional | None | $11.75 | $16.22 | $20.89 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | 52 · Reduced service | $5.89 | $5.89 | $5.89 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | 53 · Discontinued | $2.34 | $2.34 | $2.34 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | 55 · Aftercare only | $1.78 | $1.78 | $1.78 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.17 Median $1.17 Typical High $1.17 | Professional | 56 · Pre-op care only | $1.17 | $1.17 | $1.17 |
Priority Health Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Priority Health Setting Professional Modifier None Typical Low $9.77 Median $13.49 Typical High $22.39 | Professional | None | $9.77 | $13.49 | $22.39 |
United Setting Facility Modifier None Typical Low $7.94 Median $9.77 Typical High $26.92 | Facility | None | $7.94 | $9.77 | $26.92 |
United Setting Professional Modifier None Typical Low $8.13 Median $9.77 Typical High $14.45 | Professional | None | $8.13 | $9.77 | $14.45 |
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 $20.42 Median $20.42 Typical High $20.42 | Professional | RR · Rental | $20.42 | $20.42 | $20.42 |
Where Michigan sits
The same service costs 2.5 times more in Arkansas than in Kansas. 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· 14th of 51
$16.60
AR $22.91KS $9.12
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.