How much rates vary
Facilitymedian $112 · 10th to 90th $52 to $331Professionalmedian $60 · 10th to 90th $38 to $78
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 $44.67 Median $75.86 Typical High $75.86 | Facility | None | $44.67 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $75.86 | Professional | None | $44.67 | $44.67 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $21.88 Typical High $38.02 | Professional | 52 · Reduced service | $21.88 | $21.88 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $15.14 | Professional | 53 · Discontinued | $8.91 | $8.91 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.61 Typical High $11.48 | Professional | 55 · Aftercare only | $6.61 | $6.61 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.47 Typical High $7.59 | Professional | 56 · Pre-op care only | $4.47 | $4.47 | $7.59 |
BCBS Michigan Setting Facility Modifier None Typical Low $91.20 Median $223.87 Typical High $426.58 | Facility | None | $91.20 | $223.87 | $426.58 |
BCBS Michigan Setting Professional Modifier None Typical Low $72.44 Median $75.86 Typical High $75.86 | Professional | None | $72.44 | $75.86 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $53.70 Typical High $89.13 | Professional | None | $39.81 | $53.70 | $89.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $43.65 Median $147.91 Typical High $162.18 | Facility | None | $43.65 | $147.91 | $162.18 |
Health Alliance Plan Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $77.62 | Professional | None | $43.65 | $60.26 | $77.62 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $21.88 | $21.88 | $21.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $6.46 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $4.37 |
Priority Health Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Priority Health Setting Professional Modifier None Typical Low $39.81 Median $53.70 Typical High $85.11 | Professional | None | $39.81 | $53.70 | $85.11 |
United Setting Facility Modifier None Typical Low $47.86 Median $51.29 Typical High $104.71 | Facility | None | $47.86 | $51.29 | $104.71 |
United Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $54.95 | Professional | None | $31.62 | $38.02 | $54.95 |
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 $75.86 Median $75.86 Typical High $75.86 | Professional | RR · Rental | $75.86 | $75.86 | $75.86 |
Where Michigan sits
The same service costs 3.1 times more in Hawaii than in West Virginia. 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
$60.26
HI $123WV $39.81
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.