How much rates vary
Facilitymedian $324 · 10th to 90th $145 to $1,072Professionalmedian $195 · 10th to 90th $112 to $251
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 $141.25 Median $245.47 Typical High $245.47 | Facility | None | $141.25 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $245.47 | Professional | None | $141.25 | $141.25 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $123.03 | Professional | 52 · Reduced service | $70.79 | $70.79 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $48.98 | Professional | 53 · Discontinued | $28.18 | $28.18 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $36.31 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $24.55 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $24.55 |
BCBS Michigan Setting Facility Modifier None Typical Low $295.12 Median $724.44 Typical High $1,348.96 | Facility | None | $295.12 | $724.44 | $1,348.96 |
BCBS Michigan Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $245.47 | Professional | None | $229.09 | $245.47 | $245.47 |
CareSource Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $245.47 | Professional | None | $104.71 | $144.54 | $245.47 |
Health Alliance Plan Setting Facility Modifier None Typical Low $138.04 Median $478.63 Typical High $512.86 | Facility | None | $138.04 | $478.63 | $512.86 |
Health Alliance Plan Setting Professional Modifier None Typical Low $138.04 Median $194.98 Typical High $251.19 | Professional | None | $138.04 | $194.98 | $251.19 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $20.89 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $13.80 |
Priority Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Priority Health Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $223.87 | Professional | None | $104.71 | $144.54 | $223.87 |
United Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $269.15 | Facility | None | $87.10 | $100.00 | $269.15 |
United Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $162.18 | Professional | None | $83.18 | $114.82 | $162.18 |
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 $245.47 Median $245.47 Typical High $245.47 | Professional | RR · Rental | $245.47 | $245.47 | $245.47 |
Where Michigan sits
The same service costs 2.5 times more in Montana than in Florida. 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· 12th of 51
$195
MT $263FL $105
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.