How much rates vary
Facilitymedian $132 · 10th to 90th $58 to $355Professionalmedian $65 · 10th to 90th $45 to $91
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 $52.48 Median $89.13 Typical High $89.13 | Facility | None | $52.48 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $89.13 | Professional | None | $52.48 | $52.48 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.30 Typical High $44.67 | Professional | 52 · Reduced service | $26.30 | $26.30 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $17.78 | Professional | 53 · Discontinued | $10.47 | $10.47 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.76 Typical High $13.49 | Professional | 55 · Aftercare only | $7.76 | $7.76 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.25 Typical High $8.91 | Professional | 56 · Pre-op care only | $5.25 | $5.25 | $8.91 |
Ambetter Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $91.20 | Professional | None | $69.18 | $91.20 | $91.20 |
BCBS Michigan Setting Facility Modifier None Typical Low $109.65 Median $263.03 Typical High $501.19 | Facility | None | $109.65 | $263.03 | $501.19 |
BCBS Michigan Setting Professional Modifier None Typical Low $85.11 Median $89.13 Typical High $89.13 | Professional | None | $85.11 | $89.13 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
CareSource Setting Professional Modifier None Typical Low $93.33 Median $128.82 Typical High $131.83 | Professional | None | $93.33 | $128.82 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $104.71 | Professional | None | $42.66 | $57.54 | $104.71 |
Health Alliance Plan Setting Facility Modifier None Typical Low $51.29 Median $173.78 Typical High $190.55 | Facility | None | $51.29 | $173.78 | $190.55 |
Health Alliance Plan Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $97.72 | Professional | None | $51.29 | $64.57 | $97.72 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 55 · Aftercare only | $7.76 | $7.76 | $7.76 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 56 · Pre-op care only | $5.13 | $5.13 | $5.13 |
Priority Health Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Priority Health Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $100.00 | Professional | None | $42.66 | $57.54 | $100.00 |
United Setting Facility Modifier None Typical Low $43.65 Median $51.29 Typical High $123.03 | Facility | None | $43.65 | $51.29 | $123.03 |
United Setting Professional Modifier None Typical Low $37.15 Median $44.67 Typical High $64.57 | Professional | None | $37.15 | $44.67 | $64.57 |
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 $89.13 Median $89.13 Typical High $89.13 | Professional | RR · Rental | $89.13 | $89.13 | $89.13 |
Where Michigan sits
The same service costs 2.6 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· 23rd of 51
$67.61
HI $117DE $44.67
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.