How much rates vary
Facilitymedian $380 · 10th to 90th $141 to $977Professionalmedian $182 · 10th to 90th $112 to $229
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 $131.83 Median $223.87 Typical High $223.87 | Facility | None | $131.83 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $223.87 | Professional | None | $131.83 | $131.83 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $112.20 | Professional | 52 · Reduced service | $66.07 | $66.07 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $44.67 | Professional | 53 · Discontinued | $26.30 | $26.30 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $33.88 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $22.39 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $22.39 |
BCBS Michigan Setting Facility Modifier None Typical Low $275.42 Median $660.69 Typical High $1,258.93 | Facility | None | $275.42 | $660.69 | $1,258.93 |
BCBS Michigan Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | None | $213.80 | $223.87 | $223.87 |
CareSource Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $263.03 | Professional | None | $102.33 | $141.25 | $263.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $128.82 Median $436.52 Typical High $478.63 | Facility | None | $128.82 | $436.52 | $478.63 |
Health Alliance Plan Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $229.09 | Professional | None | $128.82 | $177.83 | $229.09 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $19.50 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $12.88 |
Priority Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Priority Health Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $251.19 | Professional | None | $102.33 | $141.25 | $251.19 |
United Setting Facility Modifier None Typical Low $151.36 Median $309.03 Typical High $389.05 | Facility | None | $151.36 | $309.03 | $389.05 |
United Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $162.18 | Professional | None | $93.33 | $112.20 | $162.18 |
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 $223.87 Median $223.87 Typical High $223.87 | Professional | RR · Rental | $223.87 | $223.87 | $223.87 |
Where Michigan sits
The same service costs 8.1 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· 15th of 51
$182
HI $832DE $102
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.