How much rates vary
Facilitymedian $490 · 10th to 90th $224 to $1,660Professionalmedian $309 · 10th to 90th $182 to $389
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 $223.87 Median $380.19 Typical High $380.19 | Facility | None | $223.87 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $380.19 | Professional | None | $223.87 | $223.87 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $190.55 | Professional | 52 · Reduced service | $112.20 | $112.20 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $75.86 | Professional | 53 · Discontinued | $44.67 | $44.67 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $57.54 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $38.02 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $38.02 |
BCBS Michigan Setting Facility Modifier None Typical Low $467.74 Median $1,122.02 Typical High $2,137.96 | Facility | None | $467.74 | $1,122.02 | $2,137.96 |
BCBS Michigan Setting Professional Modifier None Typical Low $363.08 Median $380.19 Typical High $380.19 | Professional | None | $363.08 | $380.19 | $380.19 |
CareSource Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $239.88 | Professional | None | $165.96 | $223.87 | $239.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $218.78 Median $741.31 Typical High $812.83 | Facility | None | $218.78 | $741.31 | $812.83 |
Health Alliance Plan Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $389.05 | Professional | None | $218.78 | $309.03 | $389.05 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $109.65 | $109.65 | $109.65 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $43.65 | $43.65 | $43.65 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $33.11 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $21.88 |
Priority Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Priority Health Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $316.23 | Professional | None | $165.96 | $223.87 | $316.23 |
United Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $389.05 | Facility | None | $190.55 | $208.93 | $389.05 |
United Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $239.88 | Professional | None | $120.23 | $181.97 | $239.88 |
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 $380.19 Median $380.19 Typical High $380.19 | Professional | RR · Rental | $380.19 | $380.19 | $380.19 |
Where Michigan sits
The same service costs 3.4 times more in Hawaii than in Washington, DC. 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· 7th of 51
$309
HI $525DC $155
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.