How much rates vary
Facilitymedian $178 · 10th to 90th $76 to $575Professionalmedian $105 · 10th to 90th $60 to $132
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 $75.86 Median $131.83 Typical High $131.83 | Facility | None | $75.86 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $131.83 | Professional | None | $75.86 | $75.86 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $64.57 | Professional | 52 · Reduced service | $38.02 | $38.02 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $26.30 | Professional | 53 · Discontinued | $15.14 | $15.14 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $19.50 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $13.18 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $13.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $158.49 Median $389.05 Typical High $724.44 | Facility | None | $158.49 | $389.05 | $724.44 |
BCBS Michigan Setting Professional Modifier None Typical Low $123.03 Median $131.83 Typical High $131.83 | Professional | None | $123.03 | $131.83 | $131.83 |
CareSource Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
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 $74.13 Median $257.04 Typical High $275.42 | Facility | None | $74.13 | $257.04 | $275.42 |
Health Alliance Plan Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $131.83 | Professional | None | $74.13 | $104.71 | $131.83 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $14.79 | $14.79 | $14.79 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $11.22 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $7.41 |
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 $120.23 | Professional | None | $54.95 | $75.86 | $120.23 |
United Setting Facility Modifier None Typical Low $69.18 Median $72.44 Typical High $147.91 | Facility | None | $69.18 | $72.44 | $147.91 |
United Setting Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $87.10 | Professional | None | $44.67 | $61.66 | $87.10 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | RR · Rental | $131.83 | $131.83 | $131.83 |
Where Michigan sits
The same service costs 3.1 times more in Hawaii than in New Jersey. 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· 11th of 51
$105
HI $170NJ $54.95
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.