How much rates vary
Facilitymedian $263 · 10th to 90th $117 to $759Professionalmedian $138 · 10th to 90th $81 to $178
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 $100.00 Median $173.78 Typical High $173.78 | Facility | None | $100.00 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $173.78 | Professional | None | $100.00 | $100.00 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $87.10 | Professional | 52 · Reduced service | $50.12 | $50.12 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $34.67 | Professional | 53 · Discontinued | $19.95 | $19.95 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $25.70 | Professional | 55 · Aftercare only | $15.14 | $15.14 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $17.38 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $17.38 |
BCBS Michigan Setting Facility Modifier None Typical Low $208.93 Median $512.86 Typical High $954.99 | Facility | None | $208.93 | $512.86 | $954.99 |
BCBS Michigan Setting Professional Modifier None Typical Low $165.96 Median $173.78 Typical High $173.78 | Professional | None | $165.96 | $173.78 | $173.78 |
CareSource Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $190.55 | Professional | None | $85.11 | $117.49 | $190.55 |
Health Alliance Plan Setting Facility Modifier None Typical Low $97.72 Median $338.84 Typical High $363.08 | Facility | None | $97.72 | $338.84 | $363.08 |
Health Alliance Plan Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $177.83 | Professional | None | $97.72 | $138.04 | $177.83 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $14.79 | $14.79 | $14.79 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $9.77 |
Priority Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Priority Health Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $173.78 | Professional | None | $85.11 | $117.49 | $173.78 |
United Setting Facility Modifier None Typical Low $57.54 Median $177.83 Typical High $208.93 | Facility | None | $57.54 | $177.83 | $208.93 |
United Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $117.49 | Professional | None | $64.57 | $81.28 | $117.49 |
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 $173.78 Median $173.78 Typical High $173.78 | Professional | RR · Rental | $173.78 | $173.78 | $173.78 |
Where Michigan sits
The same service costs 2.1 times more in Montana 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· 14th of 51
$138
MT $178FL $85.11
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.