How much rates vary
Facilitymedian $813 · 10th to 90th $389 to $2,630Professionalmedian $479 · 10th to 90th $282 to $617
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 $346.74 Median $602.56 Typical High $602.56 | Facility | None | $346.74 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $602.56 | Professional | None | $346.74 | $346.74 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $302.00 | Professional | 52 · Reduced service | $173.78 | $173.78 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $120.23 | Professional | 53 · Discontinued | $69.18 | $69.18 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $89.13 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $60.26 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $60.26 |
BCBS Michigan Setting Facility Modifier None Typical Low $724.44 Median $1,778.28 Typical High $3,311.31 | Facility | None | $724.44 | $1,778.28 | $3,311.31 |
BCBS Michigan Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $602.56 | Professional | None | $575.44 | $602.56 | $602.56 |
CareSource Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $616.60 | Professional | None | $281.84 | $389.05 | $616.60 |
Health Alliance Plan Setting Facility Modifier None Typical Low $338.84 Median $1,174.90 Typical High $1,258.93 | Facility | None | $338.84 | $1,174.90 | $1,258.93 |
Health Alliance Plan Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $616.60 | Professional | None | $338.84 | $478.63 | $616.60 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Priority Health Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Priority Health Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $549.54 | Professional | None | $281.84 | $389.05 | $549.54 |
United Setting Facility Modifier None Typical Low $331.13 Median $426.58 Typical High $676.08 | Facility | None | $331.13 | $426.58 | $676.08 |
United Setting Professional Modifier None Typical Low $204.17 Median $281.84 Typical High $398.11 | Professional | None | $204.17 | $281.84 | $398.11 |
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 $602.56 Median $602.56 Typical High $602.56 | Professional | RR · Rental | $602.56 | $602.56 | $602.56 |
Where Michigan sits
The same service costs 3.4 times more in Hawaii than in Washington, DC. 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· 13th of 51
$479
HI $891DC $263
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.