How much rates vary
Facilitymedian $138 · 10th to 90th $59 to $407Professionalmedian $76 · 10th to 90th $47 to $95
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 $54.95 Median $93.33 Typical High $93.33 | Facility | None | $54.95 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $93.33 | Professional | None | $54.95 | $54.95 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $46.77 | Professional | 52 · Reduced service | $27.54 | $27.54 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $18.62 | Professional | 53 · Discontinued | $10.96 | $10.96 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $14.13 | Professional | 55 · Aftercare only | $8.13 | $8.13 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $9.33 |
BCBS Michigan Setting Facility Modifier None Typical Low $114.82 Median $275.42 Typical High $524.81 | Facility | None | $114.82 | $275.42 | $524.81 |
BCBS Michigan Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $93.33 | Professional | None | $89.13 | $93.33 | $93.33 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $75.86 | Professional | None | $42.66 | $58.88 | $75.86 |
Health Alliance Plan Setting Facility Modifier None Typical Low $53.70 Median $181.97 Typical High $199.53 | Facility | None | $53.70 | $181.97 | $199.53 |
Health Alliance Plan Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $95.50 | Professional | None | $53.70 | $75.86 | $95.50 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $26.92 | $26.92 | $26.92 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 55 · Aftercare only | $8.13 | $8.13 | $8.13 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 56 · Pre-op care only | $5.37 | $5.37 | $5.37 |
Priority Health Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Priority Health Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $77.62 | Professional | None | $42.66 | $58.88 | $77.62 |
United Setting Facility Modifier None Typical Low $40.74 Median $46.77 Typical High $128.82 | Facility | None | $40.74 | $46.77 | $128.82 |
United Setting Professional Modifier None Typical Low $38.90 Median $46.77 Typical High $66.07 | Professional | None | $38.90 | $46.77 | $66.07 |
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 $93.33 Median $93.33 Typical High $93.33 | Professional | RR · Rental | $93.33 | $93.33 | $93.33 |
Where Michigan sits
The same service costs 2.5 times more in Arkansas 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· 16th of 51
$75.86
AR $107DE $42.66
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.