How much rates vary
Facilitymedian $151 · 10th to 90th $72 to $427Professionalmedian $74 · 10th to 90th $49 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 $56.23 Median $97.72 Typical High $97.72 | Facility | None | $56.23 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $97.72 | Professional | None | $56.23 | $56.23 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $48.98 | Professional | 52 · Reduced service | $28.18 | $28.18 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $19.50 | Professional | 53 · Discontinued | $11.22 | $11.22 | $19.50 |
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 $5.62 Median $5.62 Typical High $9.77 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $9.77 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $100.00 | Professional | None | $74.13 | $100.00 | $100.00 |
BCBS Michigan Setting Facility Modifier None Typical Low $117.49 Median $288.40 Typical High $549.54 | Facility | None | $117.49 | $288.40 | $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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
CareSource Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $138.04 | Professional | None | $97.72 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $112.20 | Professional | None | $52.48 | $72.44 | $112.20 |
Health Alliance Plan Setting Facility Modifier None Typical Low $56.23 Median $204.17 Typical High $288.40 | Facility | None | $56.23 | $204.17 | $288.40 |
Health Alliance Plan Setting Professional Modifier None Typical Low $56.23 Median $70.79 Typical High $100.00 | Professional | None | $56.23 | $70.79 | $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 $8.32 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $8.32 |
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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Priority Health Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $109.65 | Professional | None | $52.48 | $72.44 | $109.65 |
United Setting Facility Modifier None Typical Low $64.57 Median $100.00 Typical High $131.83 | Facility | None | $64.57 | $100.00 | $131.83 |
United Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $70.79 | Professional | None | $40.74 | $48.98 | $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 5.0 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
$77.62
HI $257FL $51.29
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.