How much rates vary
Facilitymedian $1,175 · 10th to 90th $437 to $3,020Professionalmedian $550 · 10th to 90th $324 to $708
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 $398.11 Median $691.83 Typical High $691.83 | Facility | None | $398.11 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $691.83 | Professional | None | $398.11 | $398.11 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $346.74 | Professional | 52 · Reduced service | $199.53 | $199.53 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $138.04 | Professional | 53 · Discontinued | $81.28 | $81.28 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $104.71 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $69.18 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $69.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $831.76 Median $2,041.74 Typical High $3,890.45 | Facility | None | $831.76 | $2,041.74 | $3,890.45 |
BCBS Michigan Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $691.83 | Professional | None | $660.69 | $691.83 | $691.83 |
CareSource 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 Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $436.52 Typical High $758.58 | Professional | None | $316.23 | $436.52 | $758.58 |
Health Alliance Plan Setting Facility Modifier None Typical Low $398.11 Median $1,288.25 Typical High $1,380.38 | Facility | None | $398.11 | $1,288.25 | $1,380.38 |
Health Alliance Plan Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $707.95 | Professional | None | $398.11 | $501.19 | $707.95 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $79.43 | $79.43 | $79.43 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $58.88 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $39.81 |
Priority Health Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Priority Health Setting Professional Modifier None Typical Low $316.23 Median $436.52 Typical High $691.83 | Professional | None | $316.23 | $436.52 | $691.83 |
United Setting Facility Modifier None Typical Low $707.95 Median $851.14 Typical High $1,000.00 | Facility | None | $707.95 | $851.14 | $1,000.00 |
United Setting Professional Modifier None Typical Low $257.04 Median $331.13 Typical High $512.86 | Professional | None | $257.04 | $331.13 | $512.86 |
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 $691.83 Median $691.83 Typical High $691.83 | Professional | RR · Rental | $691.83 | $691.83 | $691.83 |
Where Michigan sits
The same service costs 2.3 times more in Montana 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· 16th of 51
$550
MT $741DE $316
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.