How much rates vary
Facilitymedian $1,660 · 10th to 90th $741 to $4,898Professionalmedian $912 · 10th to 90th $537 to $1,148
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 $660.69 Median $1,122.02 Typical High $1,122.02 | Facility | None | $660.69 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,122.02 | Professional | None | $660.69 | $660.69 | $1,122.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $331.13 Typical High $562.34 | Professional | 52 · Reduced service | $331.13 | $331.13 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $229.09 | Professional | 53 · Discontinued | $131.83 | $131.83 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $169.82 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $112.20 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $112.20 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,380.38 Median $3,388.44 Typical High $6,309.57 | Facility | None | $1,380.38 | $3,388.44 | $6,309.57 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,071.52 | $1,122.02 | $1,122.02 |
CareSource Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $1,288.25 | Professional | None | $537.03 | $741.31 | $1,288.25 |
Health Alliance Plan Setting Facility Modifier None Typical Low $645.65 Median $2,187.76 Typical High $2,398.83 | Facility | None | $645.65 | $2,187.76 | $2,398.83 |
Health Alliance Plan Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $1,148.15 | Professional | None | $645.65 | $891.25 | $1,148.15 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $128.82 | $128.82 | $128.82 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $64.57 |
Priority Health Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Priority Health Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $1,148.15 | Professional | None | $537.03 | $741.31 | $1,148.15 |
United Setting Facility Modifier None Typical Low $645.65 Median $691.83 Typical High $1,412.54 | Facility | None | $645.65 | $691.83 | $1,412.54 |
United Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $794.33 | Professional | None | $426.58 | $537.03 | $794.33 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | RR · Rental | $1,122.02 | $1,122.02 | $1,122.02 |
Where Michigan sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 15th of 51
$912
HI $1,622VT $537
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.