How much rates vary
Facilitymedian $91 · 10th to 90th $38 to $269Professionalmedian $49 · 10th to 90th $30 to $63
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 $36.31 Median $61.66 Typical High $61.66 | Facility | None | $36.31 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $61.66 | Professional | None | $36.31 | $36.31 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $30.90 | Professional | 52 · Reduced service | $18.20 | $18.20 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $12.30 | Professional | 53 · Discontinued | $7.24 | $7.24 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $9.33 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $6.17 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $6.17 |
BCBS Michigan Setting Facility Modifier None Typical Low $74.13 Median $181.97 Typical High $346.74 | Facility | None | $74.13 | $181.97 | $346.74 |
BCBS Michigan Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $61.66 | Professional | None | $58.88 | $61.66 | $61.66 |
CareSource Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
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 $28.18 Median $38.90 Typical High $72.44 | Professional | None | $28.18 | $38.90 | $72.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $35.48 Median $120.23 Typical High $131.83 | Facility | None | $35.48 | $120.23 | $131.83 |
Health Alliance Plan Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $63.10 | Professional | None | $35.48 | $48.98 | $63.10 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $17.78 | $17.78 | $17.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.08 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $5.37 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | 56 · Pre-op care only | $3.55 | $3.55 | $3.55 |
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 $28.18 Median $38.90 Typical High $64.57 | Professional | None | $28.18 | $38.90 | $64.57 |
United Setting Facility Modifier None Typical Low $35.48 Median $38.02 Typical High $79.43 | Facility | None | $35.48 | $38.02 | $79.43 |
United Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $43.65 | Professional | None | $23.99 | $29.51 | $43.65 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | RR · Rental | $61.66 | $61.66 | $61.66 |
Where Michigan sits
The same service costs 3.0 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
$48.98
HI $83.18DE $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.