How much rates vary
Facilitymedian $209 · 10th to 90th $87 to $646Professionalmedian $117 · 10th to 90th $69 to $151
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 $85.11 Median $147.91 Typical High $147.91 | Facility | None | $85.11 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $147.91 | Professional | None | $85.11 | $85.11 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $74.13 | Professional | 52 · Reduced service | $42.66 | $42.66 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $29.51 | Professional | 53 · Discontinued | $17.38 | $17.38 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $22.39 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $14.79 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $14.79 |
BCBS Michigan Setting Facility Modifier None Typical Low $177.83 Median $436.52 Typical High $831.76 | Facility | None | $177.83 | $436.52 | $831.76 |
BCBS Michigan Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $147.91 | Professional | None | $141.25 | $147.91 | $147.91 |
CareSource Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $104.71 Typical High $158.49 | Professional | None | $75.86 | $104.71 | $158.49 |
Health Alliance Plan Setting Facility Modifier None Typical Low $85.11 Median $288.40 Typical High $316.23 | Facility | None | $85.11 | $288.40 | $316.23 |
Health Alliance Plan Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $151.36 | Professional | None | $85.11 | $117.49 | $151.36 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $42.66 | $42.66 | $42.66 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $16.98 | $16.98 | $16.98 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $12.59 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $8.51 |
Priority Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Priority Health Setting Professional Modifier None Typical Low $75.86 Median $104.71 Typical High $141.25 | Professional | None | $75.86 | $104.71 | $141.25 |
United Setting Facility Modifier None Typical Low $75.86 Median $85.11 Typical High $173.78 | Facility | None | $75.86 | $85.11 | $173.78 |
United Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $97.72 | Professional | None | $52.48 | $69.18 | $97.72 |
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 $147.91 Median $147.91 Typical High $147.91 | Professional | RR · Rental | $147.91 | $147.91 | $147.91 |
Where Michigan sits
The same service costs 3.0 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· 11th of 51
$117
HI $204FL $67.61
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.