How much rates vary
Facilitymedian $912 · 10th to 90th $316 to $2,512Professionalmedian $407 · 10th to 90th $263 to $575
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 $331.13 Median $562.34 Typical High $562.34 | Facility | None | $331.13 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $562.34 | Professional | None | $302.00 | $331.13 | $562.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $281.84 | Professional | 52 · Reduced service | $162.18 | $162.18 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $112.20 | Professional | 53 · Discontinued | $66.07 | $66.07 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $85.11 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $56.23 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $56.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $676.08 Median $1,659.59 Typical High $3,162.28 | Facility | None | $676.08 | $1,659.59 | $3,162.28 |
BCBS Michigan Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $562.34 | Professional | None | $537.03 | $562.34 | $562.34 |
CareSource Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $630.96 | Professional | None | $229.09 | $316.23 | $630.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $323.59 Median $1,096.48 Typical High $1,202.26 | Facility | None | $323.59 | $1,096.48 | $1,202.26 |
Health Alliance Plan Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $575.44 | Professional | None | $323.59 | $407.38 | $575.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $162.18 | $162.18 | $162.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $64.57 | $64.57 | $64.57 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $47.86 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $32.36 |
Priority Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Priority Health Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $562.34 | Professional | None | $229.09 | $316.23 | $562.34 |
United Setting Facility Modifier None Typical Low $588.84 Median $691.83 Typical High $831.76 | Facility | None | $588.84 | $691.83 | $831.76 |
United Setting Professional Modifier None Typical Low $208.93 Median $263.03 Typical High $389.05 | Professional | None | $208.93 | $263.03 | $389.05 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | RR · Rental | $562.34 | $562.34 | $562.34 |
Where Michigan sits
The same service costs 2.6 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· 18th of 51
$407
MT $589DE $229
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.