How much rates vary
Facilitymedian $2,188 · 10th to 90th $832 to $6,607Professionalmedian $1,202 · 10th to 90th $708 to $1,549
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 $891.25 Median $1,513.56 Typical High $1,513.56 | Facility | None | $891.25 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,513.56 | Professional | None | $891.25 | $891.25 | $1,513.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $436.52 Typical High $758.58 | Professional | 52 · Reduced service | $436.52 | $436.52 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $302.00 | Professional | 53 · Discontinued | $177.83 | $177.83 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $229.09 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $151.36 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $151.36 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,819.70 Median $4,466.84 Typical High $8,511.38 | Facility | None | $1,819.70 | $4,466.84 | $8,511.38 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,445.44 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,445.44 | $1,513.56 | $1,513.56 |
CareSource Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,659.59 | Professional | None | $602.56 | $831.76 | $1,659.59 |
Health Alliance Plan Setting Facility Modifier None Typical Low $870.96 Median $2,951.21 Typical High $3,235.94 | Facility | None | $870.96 | $2,951.21 | $3,235.94 |
Health Alliance Plan Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,548.82 | Professional | None | $870.96 | $1,202.26 | $1,548.82 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $128.82 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Priority Health Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Priority Health Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,479.11 | Professional | None | $602.56 | $831.76 | $1,479.11 |
United Setting Facility Modifier None Typical Low $870.96 Median $891.25 Typical High $1,819.70 | Facility | None | $870.96 | $891.25 | $1,819.70 |
United Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $1,023.29 | Professional | None | $549.54 | $707.95 | $1,023.29 |
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | RR · Rental | $1,513.56 | $1,513.56 | $1,513.56 |
Where Michigan sits
The same service costs 4.4 times more in Hawaii than in Kansas. 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· 11th of 51
$1,202
HI $2,239KS $513
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.