How much rates vary
Facilitymedian $2,042 · 10th to 90th $891 to $6,026Professionalmedian $1,096 · 10th to 90th $692 to $1,413
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 $794.33 Median $1,380.38 Typical High $1,380.38 | Facility | None | $794.33 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,380.38 | Professional | None | $794.33 | $794.33 | $1,380.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $398.11 Typical High $691.83 | Professional | 52 · Reduced service | $398.11 | $398.11 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $275.42 | Professional | 53 · Discontinued | $158.49 | $158.49 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $204.17 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $138.04 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $138.04 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,659.59 Median $4,073.80 Typical High $7,762.47 | Facility | None | $1,659.59 | $4,073.80 | $7,762.47 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,318.26 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,318.26 | $1,380.38 | $1,380.38 |
CareSource Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $1,096.48 | Professional | None | $645.65 | $891.25 | $1,096.48 |
Health Alliance Plan Setting Facility Modifier None Typical Low $776.25 Median $2,691.53 Typical High $2,951.21 | Facility | None | $776.25 | $2,691.53 | $2,951.21 |
Health Alliance Plan Setting Professional Modifier None Typical Low $776.25 Median $1,096.48 Typical High $1,412.54 | Professional | None | $776.25 | $1,096.48 | $1,412.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $117.49 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Priority Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Priority Health Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $1,148.15 | Professional | None | $645.65 | $891.25 | $1,148.15 |
United Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $1,862.09 | Facility | None | $851.14 | $870.96 | $1,862.09 |
United Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $977.24 | Professional | None | $575.44 | $676.08 | $977.24 |
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | RR · Rental | $1,380.38 | $1,380.38 | $1,380.38 |
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· 17th of 51
$1,122
HI $1,905DE $646
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.