How much rates vary
Facilitymedian $1,349 · 10th to 90th $513 to $4,266Professionalmedian $776 · 10th to 90th $447 to $1,000
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 $562.34 Median $977.24 Typical High $977.24 | Facility | None | $562.34 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $977.24 | Professional | None | $562.34 | $562.34 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $489.78 | Professional | 52 · Reduced service | $281.84 | $281.84 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $194.98 | Professional | 53 · Discontinued | $112.20 | $112.20 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $144.54 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $97.72 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $97.72 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,174.90 Median $2,884.03 Typical High $5,370.32 | Facility | None | $1,174.90 | $2,884.03 | $5,370.32 |
BCBS Michigan Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $977.24 | Professional | None | $933.25 | $977.24 | $977.24 |
CareSource Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $1,023.29 | Professional | None | $371.54 | $512.86 | $1,023.29 |
Health Alliance Plan Setting Facility Modifier None Typical Low $549.54 Median $1,905.46 Typical High $2,041.74 | Facility | None | $549.54 | $1,905.46 | $2,041.74 |
Health Alliance Plan Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $1,000.00 | Professional | None | $549.54 | $776.25 | $1,000.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $275.42 | $275.42 | $275.42 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $83.18 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $54.95 |
Priority Health Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Priority Health Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $912.01 | Professional | None | $371.54 | $512.86 | $912.01 |
United Setting Facility Modifier None Typical Low $478.63 Median $549.54 Typical High $1,122.02 | Facility | None | $478.63 | $549.54 | $1,122.02 |
United Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $645.65 | Professional | None | $338.84 | $457.09 | $645.65 |
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 $977.24 Median $977.24 Typical High $977.24 | Professional | RR · Rental | $977.24 | $977.24 | $977.24 |
Where Michigan sits
The same service costs 3.2 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· 12th of 51
$776
HI $1,202DE $372
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.