How much rates vary
Facilitymedian $229 · 10th to 90th $89 to $692Professionalmedian $120 · 10th to 90th $76 to $162
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 $91.20 Median $158.49 Typical High $158.49 | Facility | None | $91.20 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $91.20 Typical High $158.49 | Professional | None | $87.10 | $91.20 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $79.43 | Professional | 52 · Reduced service | $45.71 | $45.71 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $31.62 | Professional | 53 · Discontinued | $18.20 | $18.20 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $23.44 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $15.85 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $15.85 |
BCBS Setting Facility Modifier None Typical Low $190.55 Median $467.74 Typical High $870.96 | Facility | None | $190.55 | $467.74 | $870.96 |
BCBS Setting Professional Modifier None Typical Low $147.91 Median $158.49 Typical High $158.49 | Professional | None | $147.91 | $158.49 | $158.49 |
CareSource Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $89.13 Typical High $158.49 | Professional | None | $64.57 | $89.13 | $158.49 |
Health Alliance Plan Setting Facility Modifier None Typical Low $89.13 Median $309.03 Typical High $331.13 | Facility | None | $89.13 | $309.03 | $331.13 |
Health Alliance Plan Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $162.18 | Professional | None | $89.13 | $125.89 | $162.18 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $44.67 | $44.67 | $44.67 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $13.49 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $8.91 |
Priority Health Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Priority Health Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $158.49 | Professional | None | $89.13 | $104.71 | $158.49 |
United Setting Facility Modifier None Typical Low $77.62 Median $162.18 Typical High $190.55 | Facility | None | $77.62 | $162.18 | $190.55 |
United Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $107.15 | Professional | None | $58.88 | $74.13 | $107.15 |
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 Setting Professional Modifier RR · Rental Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | RR · Rental | $158.49 | $158.49 | $158.49 |
Where Michigan sits
The same service costs 2.8 times more in Kansas 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
$126
KS $178DE $64.57
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.