How much rates vary
Facilitymedian $87 · 10th to 90th $39 to $263Professionalmedian $48 · 10th to 90th $28 to $62
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 $35.48 Median $60.26 Typical High $60.26 | Facility | None | $35.48 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $60.26 | Professional | None | $35.48 | $35.48 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $30.20 | Professional | 52 · Reduced service | $17.38 | $17.38 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $12.02 | Professional | 53 · Discontinued | $7.08 | $7.08 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $5.25 Typical High $9.12 | Professional | 55 · Aftercare only | $5.25 | $5.25 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.55 Typical High $6.03 | Professional | 56 · Pre-op care only | $3.55 | $3.55 | $6.03 |
Ambetter Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
BCBS Michigan Setting Facility Modifier None Typical Low $72.44 Median $177.83 Typical High $338.84 | Facility | None | $72.44 | $177.83 | $338.84 |
BCBS Michigan Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | None | $57.54 | $60.26 | $60.26 |
CareSource Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $66.07 | Professional | None | $28.84 | $38.90 | $66.07 |
Health Alliance Plan Setting Facility Modifier None Typical Low $34.67 Median $117.49 Typical High $128.82 | Facility | None | $34.67 | $117.49 | $128.82 |
Health Alliance Plan Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $61.66 | Professional | None | $34.67 | $47.86 | $61.66 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $17.38 | $17.38 | $17.38 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.92 | $6.92 | $6.92 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 55 · Aftercare only | $5.25 | $5.25 | $5.25 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 56 · Pre-op care only | $3.47 | $3.47 | $3.47 |
Priority Health Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Priority Health Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $60.26 | Professional | None | $28.84 | $38.90 | $60.26 |
United Setting Facility Modifier None Typical Low $35.48 Median $51.29 Typical High $72.44 | Facility | None | $35.48 | $51.29 | $72.44 |
United Setting Professional Modifier None Typical Low $22.39 Median $28.18 Typical High $40.74 | Professional | None | $22.39 | $28.18 | $40.74 |
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 $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
Where Michigan sits
The same service costs 4.7 times more in Hawaii 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· 14th of 51
$47.86
HI $132FL $28.18
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.