How much rates vary
Facilitymedian $646 · 10th to 90th $347 to $1,950Professionalmedian $347 · 10th to 90th $219 to $447
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 $257.04 Median $446.68 Typical High $446.68 | Facility | None | $257.04 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $446.68 | Professional | None | $257.04 | $257.04 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $218.78 | Professional | 52 · Reduced service | $128.82 | $128.82 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $89.13 | Professional | 53 · Discontinued | $51.29 | $51.29 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $38.90 Typical High $66.07 | Professional | 55 · Aftercare only | $38.90 | $38.90 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $44.67 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $44.67 |
Ambetter Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $338.84 | Professional | None | $251.19 | $251.19 | $338.84 |
BCBS Michigan Setting Facility Modifier None Typical Low $537.03 Median $1,318.26 Typical High $2,454.71 | Facility | None | $537.03 | $1,318.26 | $2,454.71 |
BCBS Michigan Setting Professional Modifier None Typical Low $416.87 Median $446.68 Typical High $446.68 | Professional | None | $416.87 | $446.68 | $446.68 |
CareSource Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $512.86 | Professional | None | $251.19 | $346.74 | $512.86 |
Health Alliance Plan Setting Facility Modifier None Typical Low $251.19 Median $870.96 Typical High $933.25 | Facility | None | $251.19 | $870.96 | $933.25 |
Health Alliance Plan Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $446.68 | Professional | None | $251.19 | $316.23 | $446.68 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $125.89 | $125.89 | $125.89 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $50.12 | $50.12 | $50.12 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $38.02 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $25.12 |
Priority Health Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Priority Health Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $489.78 | Professional | None | $251.19 | $346.74 | $489.78 |
United Setting Facility Modifier None Typical Low $295.12 Median $389.05 Typical High $602.56 | Facility | None | $295.12 | $389.05 | $602.56 |
United Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $316.23 | Professional | None | $181.97 | $218.78 | $316.23 |
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 $446.68 Median $446.68 Typical High $446.68 | Professional | RR · Rental | $446.68 | $446.68 | $446.68 |
Where Michigan sits
The same service costs 3.8 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· 19th of 51
$347
HI $912FL $240
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.