How much rates vary
Facilitymedian $93 · 10th to 90th $41 to $275Professionalmedian $50 · 10th to 90th $31 to $65
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 $36.31 Median $63.10 Typical High $63.10 | Facility | None | $36.31 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $63.10 | Professional | None | $36.31 | $36.31 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $31.62 | Professional | 52 · Reduced service | $18.20 | $18.20 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $12.59 | Professional | 53 · Discontinued | $7.24 | $7.24 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $5.50 Typical High $9.55 | Professional | 55 · Aftercare only | $5.50 | $5.50 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $6.31 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $6.31 |
BCBS Michigan Setting Facility Modifier None Typical Low $75.86 Median $186.21 Typical High $354.81 | Facility | None | $75.86 | $186.21 | $354.81 |
BCBS Michigan Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $63.10 | Professional | None | $60.26 | $63.10 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $40.74 Typical High $69.18 | Professional | None | $29.51 | $40.74 | $69.18 |
Health Alliance Plan Setting Facility Modifier None Typical Low $36.31 Median $123.03 Typical High $134.90 | Facility | None | $36.31 | $123.03 | $134.90 |
Health Alliance Plan Setting Professional Modifier None Typical Low $36.31 Median $50.12 Typical High $64.57 | Professional | None | $36.31 | $50.12 | $64.57 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $18.20 | $18.20 | $18.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.24 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $5.37 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $3.63 |
Priority Health Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Priority Health Setting Professional Modifier None Typical Low $40.74 Median $41.69 Typical High $69.18 | Professional | None | $40.74 | $41.69 | $69.18 |
United Setting Facility Modifier None Typical Low $36.31 Median $40.74 Typical High $85.11 | Facility | None | $36.31 | $40.74 | $85.11 |
United Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $44.67 | Professional | None | $25.70 | $30.90 | $44.67 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | RR · Rental | $63.10 | $63.10 | $63.10 |
Where Michigan sits
The same service costs 2.7 times more in Montana 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· 18th of 51
$50.12
MT $83.18DE $30.90
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.