How much rates vary
Facilitymedian $417 · 10th to 90th $170 to $1,230Professionalmedian $224 · 10th to 90th $138 to $288
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 $165.96 Median $281.84 Typical High $281.84 | Facility | None | $165.96 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $281.84 | Professional | None | $165.96 | $165.96 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $141.25 | Professional | 52 · Reduced service | $83.18 | $83.18 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $56.23 | Professional | 53 · Discontinued | $33.11 | $33.11 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $42.66 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $28.18 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $28.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $338.84 Median $831.76 Typical High $1,584.89 | Facility | None | $338.84 | $831.76 | $1,584.89 |
BCBS Michigan Setting Professional Modifier None Typical Low $269.15 Median $281.84 Typical High $281.84 | Professional | None | $269.15 | $281.84 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $331.13 | Professional | None | $125.89 | $169.82 | $331.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $162.18 Median $549.54 Typical High $602.56 | Facility | None | $162.18 | $549.54 | $602.56 |
Health Alliance Plan Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $288.40 | Professional | None | $162.18 | $223.87 | $288.40 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $24.55 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $16.22 |
Priority Health Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Priority Health Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $309.03 | Professional | None | $125.89 | $169.82 | $309.03 |
United Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $371.54 | Facility | None | $181.97 | $229.09 | $371.54 |
United Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $204.17 | Professional | None | $114.82 | $138.04 | $204.17 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | RR · Rental | $281.84 | $281.84 | $281.84 |
Where Michigan sits
The same service costs 4.7 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
$224
HI $589DE $126
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.