How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,318 to $9,772Professionalmedian $1,778 · 10th to 90th $1,047 to $2,291
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 $1,288.25 Median $2,238.72 Typical High $2,238.72 | Facility | None | $1,288.25 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,238.72 | Professional | None | $1,288.25 | $1,288.25 | $2,238.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $645.65 Typical High $1,122.02 | Professional | 52 · Reduced service | $645.65 | $645.65 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $446.68 | Professional | 53 · Discontinued | $257.04 | $257.04 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $338.84 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $223.87 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $223.87 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,691.53 Median $6,606.93 Typical High $12,589.25 | Facility | None | $2,691.53 | $6,606.93 | $12,589.25 |
BCBS Michigan Setting Professional Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,137.96 | $2,238.72 | $2,238.72 |
CareSource Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,318.26 Typical High $2,570.40 | Professional | None | $954.99 | $1,318.26 | $2,570.40 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,288.25 Median $4,365.16 Typical High $4,786.30 | Facility | None | $1,288.25 | $4,365.16 | $4,786.30 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $2,290.87 | Professional | None | $1,288.25 | $1,737.80 | $2,290.87 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $128.82 |
Priority Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Priority Health Setting Professional Modifier None Typical Low $954.99 Median $1,318.26 Typical High $2,344.23 | Professional | None | $954.99 | $1,318.26 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $2,818.38 | Facility | None | $1,122.02 | $1,258.93 | $2,818.38 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,584.89 | Professional | None | $870.96 | $1,047.13 | $1,584.89 |
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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | RR · Rental | $2,238.72 | $2,238.72 | $2,238.72 |
Where Michigan sits
The same service costs 2.9 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· 15th of 51
$1,778
HI $2,754DE $955
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.