How much rates vary
Facilitymedian $389 · 10th to 90th $178 to $1,202Professionalmedian $224 · 10th to 90th $141 to $309
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 $177.83 Median $302.00 Typical High $302.00 | Facility | None | $177.83 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $302.00 | Professional | None | $162.18 | $177.83 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $151.36 | Professional | 52 · Reduced service | $87.10 | $87.10 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $60.26 | Professional | 53 · Discontinued | $35.48 | $35.48 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $45.71 | Professional | 55 · Aftercare only | $26.30 | $26.30 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $30.20 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $363.08 Median $891.25 Typical High $1,698.24 | Facility | None | $363.08 | $891.25 | $1,698.24 |
BCBS Michigan Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $302.00 | Professional | None | $288.40 | $302.00 | $302.00 |
CareSource Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $190.55 | Facility | None | $177.83 | $177.83 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $331.13 | Professional | None | $128.82 | $177.83 | $331.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $173.78 Median $588.84 Typical High $645.65 | Facility | None | $173.78 | $588.84 | $645.65 |
Health Alliance Plan Setting Professional Modifier None Typical Low $173.78 Median $218.78 Typical High $309.03 | Professional | None | $173.78 | $218.78 | $309.03 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $25.70 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $17.38 |
Priority Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $190.55 | Facility | None | $177.83 | $177.83 | $190.55 |
Priority Health Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $295.12 | Professional | None | $128.82 | $177.83 | $295.12 |
United Setting Facility Modifier None Typical Low $177.83 Median $186.21 Typical High $363.08 | Facility | None | $177.83 | $186.21 | $363.08 |
United Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $204.17 | Professional | None | $109.65 | $141.25 | $204.17 |
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 $302.00 Median $302.00 Typical High $302.00 | Professional | RR · Rental | $302.00 | $302.00 | $302.00 |
Where Michigan sits
The same service costs 3.5 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· 16th of 51
$234
HI $457DE $129
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.