How much rates vary
Facilitymedian $776 · 10th to 90th $295 to $2,399Professionalmedian $437 · 10th to 90th $257 to $562
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 $316.23 Median $549.54 Typical High $549.54 | Facility | None | $316.23 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $549.54 | Professional | None | $316.23 | $316.23 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $275.42 | Professional | 52 · Reduced service | $158.49 | $158.49 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $109.65 | Professional | 53 · Discontinued | $63.10 | $63.10 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $81.28 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $54.95 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $54.95 |
BCBS Michigan Setting Facility Modifier None Typical Low $660.69 Median $1,621.81 Typical High $3,090.30 | Facility | None | $660.69 | $1,621.81 | $3,090.30 |
BCBS Michigan Setting Professional Modifier None Typical Low $524.81 Median $549.54 Typical High $549.54 | Professional | None | $524.81 | $549.54 | $549.54 |
CareSource Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $588.84 | Professional | None | $218.78 | $295.12 | $588.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $309.03 Median $1,071.52 Typical High $1,174.90 | Facility | None | $309.03 | $1,071.52 | $1,174.90 |
Health Alliance Plan Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $562.34 | Professional | None | $309.03 | $436.52 | $562.34 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $46.77 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $30.90 |
Priority Health Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Priority Health Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $537.03 | Professional | None | $218.78 | $295.12 | $537.03 |
United Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $645.65 | Facility | None | $316.23 | $346.74 | $645.65 |
United Setting Professional Modifier None Typical Low $199.53 Median $257.04 Typical High $363.08 | Professional | None | $199.53 | $257.04 | $363.08 |
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 $549.54 Median $549.54 Typical High $549.54 | Professional | RR · Rental | $549.54 | $549.54 | $549.54 |
Where Michigan sits
The same service costs 4.2 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· 15th of 51
$437
HI $912DE $219
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.