How much rates vary
Facilitymedian $933 · 10th to 90th $457 to $3,311Professionalmedian $603 · 10th to 90th $389 to $851
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 $489.78 Median $489.78 Typical High $831.76 | Facility | None | $489.78 | $489.78 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $478.63 Typical High $831.76 | Professional | None | $457.09 | $478.63 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $416.87 | Professional | 52 · Reduced service | $239.88 | $239.88 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $165.96 | Professional | 53 · Discontinued | $95.50 | $95.50 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $125.89 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $83.18 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $83.18 |
Ambetter Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,000.00 Median $2,454.71 Typical High $4,677.35 | Facility | None | $1,000.00 | $2,454.71 | $4,677.35 |
BCBS Michigan Setting Professional Modifier None Typical Low $794.33 Median $831.76 Typical High $831.76 | Professional | None | $794.33 | $831.76 | $831.76 |
CareSource Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $851.14 | Professional | None | $338.84 | $457.09 | $851.14 |
Health Alliance Plan Setting Facility Modifier None Typical Low $147.91 Median $489.78 Typical High $1,778.28 | Facility | None | $147.91 | $489.78 | $1,778.28 |
Health Alliance Plan Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $851.14 | Professional | None | $478.63 | $602.56 | $851.14 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $234.42 | $234.42 | $234.42 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $70.79 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Priority Health Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Priority Health Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $758.58 | Professional | None | $338.84 | $457.09 | $758.58 |
United Setting Facility Modifier None Typical Low $407.38 Median $794.33 Typical High $933.25 | Facility | None | $407.38 | $794.33 | $933.25 |
United Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $549.54 | Professional | None | $281.84 | $389.05 | $549.54 |
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 $831.76 Median $831.76 Typical High $831.76 | Professional | RR · Rental | $831.76 | $831.76 | $831.76 |
Where Michigan sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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
$603
HI $871NH $339
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.