How much rates vary
Facilitymedian $126 · 10th to 90th $36 to $355Professionalmedian $65 · 10th to 90th $36 to $83
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 $46.77 Median $81.28 Typical High $81.28 | Facility | None | $46.77 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $81.28 | Professional | None | $46.77 | $46.77 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $23.44 Typical High $40.74 | Professional | 52 · Reduced service | $23.44 | $23.44 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $16.22 | Professional | 53 · Discontinued | $9.55 | $9.55 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $12.30 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.68 Typical High $8.13 | Professional | 56 · Pre-op care only | $4.68 | $4.68 | $8.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $97.72 Median $239.88 Typical High $457.09 | Facility | None | $97.72 | $239.88 | $457.09 |
BCBS Michigan Setting Professional Modifier None Typical Low $77.62 Median $81.28 Typical High $81.28 | Professional | None | $77.62 | $81.28 | $81.28 |
CareSource Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $36.31 Typical High $83.18 | Professional | None | $26.92 | $36.31 | $83.18 |
Health Alliance Plan Setting Facility Modifier None Typical Low $46.77 Median $158.49 Typical High $173.78 | Facility | None | $46.77 | $158.49 | $173.78 |
Health Alliance Plan Setting Professional Modifier None Typical Low $46.77 Median $64.57 Typical High $83.18 | Professional | None | $46.77 | $64.57 | $83.18 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $23.44 | $23.44 | $23.44 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $9.33 | $9.33 | $9.33 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 55 · Aftercare only | $6.92 | $6.92 | $6.92 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | 56 · Pre-op care only | $4.68 | $4.68 | $4.68 |
Priority Health Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Priority Health Setting Professional Modifier None Typical Low $26.92 Median $36.31 Typical High $75.86 | Professional | None | $26.92 | $36.31 | $75.86 |
United Setting Facility Modifier None Typical Low $38.90 Median $77.62 Typical High $91.20 | Facility | None | $38.90 | $77.62 | $91.20 |
United Setting Professional Modifier None Typical Low $28.18 Median $38.02 Typical High $53.70 | Professional | None | $28.18 | $38.02 | $53.70 |
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 $81.28 Median $81.28 Typical High $81.28 | Professional | RR · Rental | $81.28 | $81.28 | $81.28 |
Where Michigan sits
The same service costs 2.9 times more in Hawaii than in Delaware. 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
$64.57
HI $91.20DE $31.62
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.