How much rates vary
Facilitymedian $1,175 · 10th to 90th $631 to $2,884Professionalmedian $661 · 10th to 90th $389 to $933
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 $380.19 Median $660.69 Typical High $660.69 | Facility | None | $380.19 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $389.05 Typical High $660.69 | Professional | None | $380.19 | $389.05 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $331.13 | Professional | 52 · Reduced service | $190.55 | $190.55 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $131.83 | Professional | 53 · Discontinued | $75.86 | $75.86 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $97.72 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $66.07 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $794.33 Median $1,949.84 Typical High $3,630.78 | Facility | None | $794.33 | $1,949.84 | $3,630.78 |
BCBS Michigan Setting Professional Modifier None Typical Low $616.60 Median $660.69 Typical High $660.69 | Professional | None | $616.60 | $660.69 | $660.69 |
CareSource Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $707.95 | Facility | None | $630.96 | $630.96 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $1,071.52 | Professional | None | $467.74 | $630.96 | $1,071.52 |
Health Alliance Plan Setting Facility Modifier None Typical Low $436.52 Median $1,995.26 Typical High $2,187.76 | Facility | None | $436.52 | $1,995.26 | $2,187.76 |
Health Alliance Plan Setting Professional Modifier None Typical Low $436.52 Median $741.31 Typical High $977.24 | Professional | None | $436.52 | $741.31 | $977.24 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $218.78 | $218.78 | $218.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $87.10 | $87.10 | $87.10 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $66.07 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $43.65 |
Priority Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $707.95 | Facility | None | $630.96 | $630.96 | $707.95 |
Priority Health Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $1,071.52 | Professional | None | $467.74 | $630.96 | $1,071.52 |
United Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $1,148.15 | Facility | None | $812.83 | $954.99 | $1,148.15 |
United Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $812.83 | Professional | None | $398.11 | $512.86 | $812.83 |
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 $660.69 Median $660.69 Typical High $660.69 | Professional | RR · Rental | $660.69 | $660.69 | $660.69 |
Where Michigan sits
The same service costs 2.2 times more in Kansas than in Utah. 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· 19th of 51
$661
KS $1,000UT $457
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.