How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,288 to $9,120Professionalmedian $1,660 · 10th to 90th $977 to $2,138
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 $1,202.26 Median $2,089.30 Typical High $2,089.30 | Facility | None | $1,202.26 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $2,089.30 | Professional | None | $1,202.26 | $1,202.26 | $2,089.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $1,047.13 | Professional | 52 · Reduced service | $602.56 | $602.56 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $416.87 | Professional | 53 · Discontinued | $239.88 | $239.88 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $309.03 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $208.93 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $208.93 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,511.89 Median $6,165.95 Typical High $11,481.54 | Facility | None | $2,511.89 | $6,165.95 | $11,481.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,995.26 | $2,089.30 | $2,089.30 |
CareSource Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,288.25 Typical High $2,344.23 | Professional | None | $933.25 | $1,288.25 | $2,344.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,174.90 Median $4,073.80 Typical High $4,365.16 | Facility | None | $1,174.90 | $4,073.80 | $4,365.16 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $2,137.96 | Professional | None | $1,174.90 | $1,659.59 | $2,137.96 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $177.83 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $117.49 |
Priority Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Priority Health Setting Professional Modifier None Typical Low $933.25 Median $1,288.25 Typical High $2,089.30 | Professional | None | $933.25 | $1,288.25 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $2,570.40 | Facility | None | $1,258.93 | $1,318.26 | $2,570.40 |
United Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $1,445.44 | Professional | None | $776.25 | $977.24 | $1,445.44 |
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | RR · Rental | $2,089.30 | $2,089.30 | $2,089.30 |
Where Michigan sits
The same service costs 3.2 times more in Hawaii than in Alabama. 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· 14th of 51
$1,660
HI $3,020AL $933
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.