How much rates vary
Facilitymedian $145 · 10th to 90th $66 to $468Professionalmedian $85 · 10th to 90th $49 to $110
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 $61.66 Median $107.15 Typical High $107.15 | Facility | None | $61.66 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $107.15 | Professional | None | $61.66 | $61.66 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $53.70 | Professional | 52 · Reduced service | $30.90 | $30.90 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $21.38 | Professional | 53 · Discontinued | $12.30 | $12.30 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $15.85 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $10.72 |
BCBS Michigan Setting Facility Modifier None Typical Low $128.82 Median $316.23 Typical High $602.56 | Facility | None | $128.82 | $316.23 | $602.56 |
BCBS Michigan Setting Professional Modifier None Typical Low $102.33 Median $107.15 Typical High $107.15 | Professional | None | $102.33 | $107.15 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $66.07 Typical High $109.65 | Professional | None | $48.98 | $66.07 | $109.65 |
Health Alliance Plan Setting Facility Modifier None Typical Low $61.66 Median $208.93 Typical High $229.09 | Facility | None | $61.66 | $208.93 | $229.09 |
Health Alliance Plan Setting Professional Modifier None Typical Low $61.66 Median $85.11 Typical High $109.65 | Professional | None | $61.66 | $85.11 | $109.65 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $12.30 | $12.30 | $12.30 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 55 · Aftercare only | $9.12 | $9.12 | $9.12 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $6.17 |
Priority Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Priority Health Setting Professional Modifier None Typical Low $48.98 Median $66.07 Typical High $97.72 | Professional | None | $48.98 | $66.07 | $97.72 |
United Setting Facility Modifier None Typical Low $47.86 Median $58.88 Typical High $120.23 | Facility | None | $47.86 | $58.88 | $120.23 |
United Setting Professional Modifier None Typical Low $36.31 Median $50.12 Typical High $70.79 | Professional | None | $36.31 | $50.12 | $70.79 |
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 $107.15 Median $107.15 Typical High $107.15 | Professional | RR · Rental | $107.15 | $107.15 | $107.15 |
Where Michigan sits
The same service costs 3.4 times more in Hawaii 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· 15th of 51
$85.11
HI $166VT $48.98
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.