How much rates vary
Facilitymedian $155 · 10th to 90th $65 to $457Professionalmedian $83 · 10th to 90th $49 to $107
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 $61.66 Median $104.71 Typical High $104.71 | Facility | None | $61.66 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $104.71 | Professional | None | $61.66 | $61.66 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $52.48 | Professional | 52 · Reduced service | $30.20 | $30.20 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $20.89 | Professional | 53 · Discontinued | $12.30 | $12.30 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $15.85 | Professional | 55 · Aftercare only | $9.12 | $9.12 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $10.47 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $10.47 |
BCBS Michigan Setting Facility Modifier None Typical Low $125.89 Median $309.03 Typical High $588.84 | Facility | None | $125.89 | $309.03 | $588.84 |
BCBS Michigan Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | None | $100.00 | $104.71 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna 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 Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $120.23 | Professional | None | $53.70 | $72.44 | $120.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $60.26 Median $204.17 Typical High $223.87 | Facility | None | $60.26 | $204.17 | $223.87 |
Health Alliance Plan Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $107.15 | Professional | None | $60.26 | $83.18 | $107.15 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 55 · Aftercare only | $9.12 | $9.12 | $9.12 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $6.03 |
Priority Health Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Priority Health Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $109.65 | Professional | None | $53.70 | $72.44 | $109.65 |
United Setting Facility Modifier None Typical Low $47.86 Median $64.57 Typical High $131.83 | Facility | None | $47.86 | $64.57 | $131.83 |
United Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $74.13 | Professional | None | $40.74 | $48.98 | $74.13 |
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 $104.71 Median $104.71 Typical High $104.71 | Professional | RR · Rental | $104.71 | $104.71 | $104.71 |
Where Michigan sits
The same service costs 3.2 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· 13th of 51
$83.18
HI $166FL $52.48
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.