How much rates vary
Facilitymedian $110 · 10th to 90th $49 to $324Professionalmedian $56 · 10th to 90th $35 to $76
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 $42.66 Median $74.13 Typical High $74.13 | Facility | None | $42.66 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $42.66 Typical High $74.13 | Professional | None | $39.81 | $42.66 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.38 Typical High $37.15 | Professional | 52 · Reduced service | $21.38 | $21.38 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $14.79 | Professional | 53 · Discontinued | $8.71 | $8.71 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $11.22 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $7.41 | Professional | 56 · Pre-op care only | $4.27 | $4.27 | $7.41 |
Ambetter Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $89.13 Median $218.78 Typical High $416.87 | Facility | None | $89.13 | $218.78 | $416.87 |
BCBS Michigan Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $74.13 | Professional | None | $70.79 | $74.13 | $74.13 |
CareSource 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 Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $74.13 | Professional | None | $35.48 | $48.98 | $74.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $42.66 Median $144.54 Typical High $158.49 | Facility | None | $42.66 | $144.54 | $158.49 |
Health Alliance Plan Setting Professional Modifier None Typical Low $42.66 Median $56.23 Typical High $75.86 | Professional | None | $42.66 | $56.23 | $75.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $21.38 | $21.38 | $21.38 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $8.51 | $8.51 | $8.51 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $6.31 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 56 · Pre-op care only | $4.27 | $4.27 | $4.27 |
Priority Health Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Priority Health Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $67.61 | Professional | None | $35.48 | $48.98 | $67.61 |
United Setting Facility Modifier None Typical Low $40.74 Median $52.48 Typical High $83.18 | Facility | None | $40.74 | $52.48 | $83.18 |
United Setting Professional Modifier None Typical Low $25.12 Median $34.67 Typical High $48.98 | Professional | None | $25.12 | $34.67 | $48.98 |
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 $74.13 Median $74.13 Typical High $74.13 | Professional | RR · Rental | $74.13 | $74.13 | $74.13 |
Where Michigan sits
The same service costs 4.0 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· 14th of 51
$57.54
HI $132DC $33.11
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.