How much rates vary
Facilitymedian $447 · 10th to 90th $191 to $1,288Professionalmedian $234 · 10th to 90th $148 to $302
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 $169.82 Median $295.12 Typical High $295.12 | Facility | None | $169.82 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $295.12 | Professional | None | $169.82 | $169.82 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $147.91 | Professional | 52 · Reduced service | $85.11 | $85.11 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $58.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $44.67 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $29.51 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $29.51 |
BCBS Michigan Setting Facility Modifier None Typical Low $354.81 Median $870.96 Typical High $1,659.59 | Facility | None | $354.81 | $870.96 | $1,659.59 |
BCBS Michigan Setting Professional Modifier None Typical Low $281.84 Median $295.12 Typical High $295.12 | Professional | None | $281.84 | $295.12 | $295.12 |
CareSource Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $338.84 | Professional | None | $138.04 | $190.55 | $338.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $169.82 Median $575.44 Typical High $741.31 | Facility | None | $169.82 | $575.44 | $741.31 |
Health Alliance Plan Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $302.00 | Professional | None | $169.82 | $234.42 | $302.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $25.12 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $16.98 |
Priority Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Priority Health Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $331.13 | Professional | None | $138.04 | $190.55 | $331.13 |
United Setting Facility Modifier None Typical Low $190.55 Median $194.98 Typical High $398.11 | Facility | None | $190.55 | $194.98 | $398.11 |
United Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $208.93 | Professional | None | $123.03 | $147.91 | $208.93 |
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 $295.12 Median $295.12 Typical High $295.12 | Professional | RR · Rental | $295.12 | $295.12 | $295.12 |
Where Michigan sits
The same service costs 3.5 times more in Hawaii than in Florida. 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· 17th of 51
$234
HI $479FL $138
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.