How much rates vary
Facilitymedian $145 · 10th to 90th $63 to $427Professionalmedian $76 · 10th to 90th $48 to $100
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 $57.54 Median $97.72 Typical High $97.72 | Facility | None | $57.54 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $97.72 | Professional | None | $57.54 | $57.54 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $48.98 | Professional | 52 · Reduced service | $28.84 | $28.84 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $19.95 | Professional | 53 · Discontinued | $11.48 | $11.48 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $14.79 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $9.77 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $9.77 |
BCBS Michigan Setting Facility Modifier None Typical Low $120.23 Median $295.12 Typical High $549.54 | Facility | None | $120.23 | $295.12 | $549.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $93.33 Median $97.72 Typical High $97.72 | Professional | None | $93.33 | $97.72 | $97.72 |
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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $114.82 | Professional | None | $45.71 | $63.10 | $114.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $56.23 Median $190.55 Typical High $208.93 | Facility | None | $56.23 | $190.55 | $208.93 |
Health Alliance Plan Setting Professional Modifier None Typical Low $56.23 Median $74.13 Typical High $100.00 | Professional | None | $56.23 | $74.13 | $100.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $28.18 | $28.18 | $28.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $11.22 | $11.22 | $11.22 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $8.51 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $5.62 |
Priority Health Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Priority Health Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $107.15 | Professional | None | $45.71 | $63.10 | $107.15 |
United Setting Facility Modifier None Typical Low $60.26 Median $63.10 Typical High $128.82 | Facility | None | $60.26 | $63.10 | $128.82 |
United Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $70.79 | Professional | None | $39.81 | $47.86 | $70.79 |
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 $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
Where Michigan sits
The same service costs 3.8 times more in Hawaii than in Florida. 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
$79.43
HI $174FL $45.71
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.