How much rates vary
Facilitymedian $72 · 10th to 90th $46 to $288Professionalmedian $59 · 10th to 90th $36 to $81
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 $46.77 Median $46.77 Typical High $79.43 | Facility | None | $46.77 | $46.77 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $79.43 | Professional | None | $41.69 | $45.71 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $22.91 Typical High $39.81 | Professional | 52 · Reduced service | $22.91 | $22.91 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $15.85 | Professional | 53 · Discontinued | $9.12 | $9.12 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $11.75 | Professional | 55 · Aftercare only | $6.92 | $6.92 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.57 Typical High $7.94 | Professional | 56 · Pre-op care only | $4.57 | $4.57 | $7.94 |
Ambetter Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $95.50 Median $234.42 Typical High $446.68 | Facility | None | $95.50 | $234.42 | $446.68 |
BCBS Michigan Setting Professional Modifier None Typical Low $75.86 Median $79.43 Typical High $79.43 | Professional | None | $75.86 | $79.43 | $79.43 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $51.29 | Facility | None | $46.77 | $46.77 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $81.28 | Professional | None | $33.88 | $46.77 | $81.28 |
Health Alliance Plan Setting Facility Modifier None Typical Low $45.71 Median $69.18 Typical High $263.03 | Facility | None | $45.71 | $69.18 | $263.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $81.28 | Professional | None | $44.67 | $58.88 | $81.28 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 55 · Aftercare only | $6.76 | $6.76 | $6.76 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $4.47 | $4.47 | $4.47 |
Priority Health Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $51.29 | Facility | None | $46.77 | $46.77 | $51.29 |
Priority Health Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $72.44 | Professional | None | $33.88 | $46.77 | $72.44 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $89.13 | Facility | None | $43.65 | $43.65 | $89.13 |
United Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $52.48 | Professional | None | $26.92 | $37.15 | $52.48 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | RR · Rental | $79.43 | $79.43 | $79.43 |
Where Michigan sits
The same service costs 3.1 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· 13th of 51
$61.66
HI $105FL $33.88
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.