How much rates vary
Facilitymedian $1,820 · 10th to 90th $832 to $5,623Professionalmedian $1,023 · 10th to 90th $661 to $1,445
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 $812.83 Median $1,412.54 Typical High $1,412.54 | Facility | None | $812.83 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $1,412.54 | Professional | None | $758.58 | $812.83 | $1,412.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $407.38 Typical High $707.95 | Professional | 52 · Reduced service | $407.38 | $407.38 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $281.84 | Professional | 53 · Discontinued | $162.18 | $162.18 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $213.80 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $141.25 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $141.25 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,698.24 Median $4,168.69 Typical High $7,943.28 | Facility | None | $1,698.24 | $4,168.69 | $7,943.28 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,348.96 | $1,412.54 | $1,412.54 |
CareSource Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $1,548.82 | Professional | None | $616.60 | $831.76 | $1,548.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $812.83 Median $2,754.23 Typical High $3,019.95 | Facility | None | $812.83 | $2,754.23 | $3,019.95 |
Health Alliance Plan Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,445.44 | Professional | None | $812.83 | $1,023.29 | $1,445.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $398.11 | $398.11 | $398.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $162.18 | $162.18 | $162.18 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $120.23 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $81.28 |
Priority Health Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Priority Health Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $1,412.54 | Professional | None | $616.60 | $831.76 | $1,412.54 |
United Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $1,698.24 | Facility | None | $630.96 | $794.33 | $1,698.24 |
United Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $954.99 | Professional | None | $524.81 | $660.69 | $954.99 |
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | RR · Rental | $1,412.54 | $1,412.54 | $1,412.54 |
Where Michigan sits
The same service costs 3.2 times more in Hawaii than in Delaware. 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· 18th of 51
$1,072
HI $1,950DE $617
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.