How much rates vary
Facilitymedian $1,072 · 10th to 90th $407 to $3,236Professionalmedian $589 · 10th to 90th $347 to $741
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 $426.58 Median $741.31 Typical High $741.31 | Facility | None | $426.58 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $741.31 | Professional | None | $426.58 | $426.58 | $741.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $363.08 | Professional | 52 · Reduced service | $213.80 | $213.80 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $147.91 | Professional | 53 · Discontinued | $85.11 | $85.11 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $109.65 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $74.13 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $74.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $891.25 Median $2,187.76 Typical High $4,073.80 | Facility | None | $891.25 | $2,187.76 | $4,073.80 |
BCBS Michigan Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $741.31 | Professional | None | $691.83 | $741.31 | $741.31 |
CareSource Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $407.38 Typical High $812.83 | Professional | None | $295.12 | $407.38 | $812.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $416.87 Median $1,445.44 Typical High $1,548.82 | Facility | None | $416.87 | $1,445.44 | $1,548.82 |
Health Alliance Plan Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $741.31 | Professional | None | $416.87 | $588.84 | $741.31 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $83.18 | $83.18 | $83.18 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $41.69 |
Priority Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Priority Health Setting Professional Modifier None Typical Low $295.12 Median $407.38 Typical High $724.44 | Professional | None | $295.12 | $407.38 | $724.44 |
United Setting Facility Modifier None Typical Low $436.52 Median $575.44 Typical High $891.25 | Facility | None | $436.52 | $575.44 | $891.25 |
United Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $501.19 | Professional | None | $269.15 | $346.74 | $501.19 |
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 $741.31 Median $741.31 Typical High $741.31 | Professional | RR · Rental | $741.31 | $741.31 | $741.31 |
Where Michigan sits
The same service costs 4.3 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· 14th of 51
$589
HI $1,259DE $295
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.