How much rates vary
Facilitymedian $1,047 · 10th to 90th $398 to $3,467Professionalmedian $646 · 10th to 90th $372 to $813
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 $467.74 Median $812.83 Typical High $812.83 | Facility | None | $467.74 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $812.83 | Professional | None | $467.74 | $467.74 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $234.42 Typical High $398.11 | Professional | 52 · Reduced service | $234.42 | $234.42 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $162.18 | Professional | 53 · Discontinued | $93.33 | $93.33 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $120.23 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $81.28 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $81.28 |
BCBS Michigan Setting Facility Modifier None Typical Low $977.24 Median $2,398.83 Typical High $4,466.84 | Facility | None | $977.24 | $2,398.83 | $4,466.84 |
BCBS Michigan Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $812.83 | Professional | None | $758.58 | $812.83 | $812.83 |
CareSource Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $794.33 | Professional | None | $295.12 | $398.11 | $794.33 |
Health Alliance Plan Setting Facility Modifier None Typical Low $457.09 Median $1,584.89 Typical High $1,698.24 | Facility | None | $457.09 | $1,584.89 | $1,698.24 |
Health Alliance Plan Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $812.83 | Professional | None | $457.09 | $645.65 | $812.83 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $45.71 |
Priority Health Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Priority Health Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $724.44 | Professional | None | $295.12 | $398.11 | $724.44 |
United Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $870.96 | Facility | None | $295.12 | $331.13 | $870.96 |
United Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $524.81 | Professional | None | $269.15 | $380.19 | $524.81 |
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 $812.83 Median $812.83 Typical High $812.83 | Professional | RR · Rental | $812.83 | $812.83 | $812.83 |
Where Michigan sits
The same service costs 3.0 times more in Montana 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· 9th of 51
$646
MT $871FL $295
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.