How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,175 to $8,710Professionalmedian $1,585 · 10th to 90th $933 to $2,042
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 $1,148.15 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,148.15 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,995.26 | Professional | None | $1,148.15 | $1,148.15 | $1,995.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $575.44 Typical High $1,000.00 | Professional | 52 · Reduced service | $575.44 | $575.44 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $398.11 | Professional | 53 · Discontinued | $234.42 | $234.42 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $302.00 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $199.53 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $199.53 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,398.83 Median $5,888.44 Typical High $11,220.18 | Facility | None | $2,398.83 | $5,888.44 | $11,220.18 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,905.46 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,905.46 | $1,995.26 | $1,995.26 |
CareSource Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $2,290.87 | Professional | None | $851.14 | $1,174.90 | $2,290.87 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,148.15 Median $3,890.45 Typical High $4,265.80 | Facility | None | $1,148.15 | $3,890.45 | $4,265.80 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $2,041.74 | Professional | None | $1,148.15 | $1,584.89 | $2,041.74 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $575.44 | $575.44 | $575.44 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $169.82 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $114.82 |
Priority Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Priority Health Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $2,089.30 | Professional | None | $851.14 | $1,174.90 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $2,570.40 | Facility | None | $1,122.02 | $1,258.93 | $2,570.40 |
United Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $1,412.54 | Professional | None | $776.25 | $933.25 | $1,412.54 |
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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | RR · Rental | $1,995.26 | $1,995.26 | $1,995.26 |
Where Michigan sits
The same service costs 3.3 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
$1,585
HI $2,818DE $851
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.