How much rates vary
Facilitymedian $275 · 10th to 90th $120 to $813Professionalmedian $148 · 10th to 90th $87 to $191
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 $107.15 Median $186.21 Typical High $186.21 | Facility | None | $107.15 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $186.21 | Professional | None | $107.15 | $107.15 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $93.33 | Professional | 52 · Reduced service | $53.70 | $53.70 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $37.15 | Professional | 53 · Discontinued | $21.38 | $21.38 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $27.54 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $18.62 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $18.62 |
BCBS Michigan Setting Facility Modifier None Typical Low $223.87 Median $549.54 Typical High $1,047.13 | Facility | None | $223.87 | $549.54 | $1,047.13 |
BCBS Michigan Setting Professional Modifier None Typical Low $177.83 Median $186.21 Typical High $186.21 | Professional | None | $177.83 | $186.21 | $186.21 |
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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $208.93 | Professional | None | $87.10 | $120.23 | $208.93 |
Health Alliance Plan Setting Facility Modifier None Typical Low $107.15 Median $363.08 Typical High $398.11 | Facility | None | $107.15 | $363.08 | $398.11 |
Health Alliance Plan Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $190.55 | Professional | None | $107.15 | $147.91 | $190.55 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $15.85 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $10.72 |
Priority Health Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Priority Health Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $190.55 | Professional | None | $87.10 | $120.23 | $190.55 |
United Setting Facility Modifier None Typical Low $72.44 Median $85.11 Typical High $229.09 | Facility | None | $72.44 | $85.11 | $229.09 |
United Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $128.82 | Professional | None | $70.79 | $87.10 | $128.82 |
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 $186.21 Median $186.21 Typical High $186.21 | Professional | RR · Rental | $186.21 | $186.21 | $186.21 |
Where Michigan sits
The same service costs 2.4 times more in Montana than in Vermont. 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
$148
MT $209VT $87.10
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.