How much rates vary
Facilitymedian $1,738 · 10th to 90th $741 to $5,129Professionalmedian $933 · 10th to 90th $589 to $1,202
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 $676.08 Median $1,174.90 Typical High $1,174.90 | Facility | None | $676.08 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,174.90 | Professional | None | $676.08 | $676.08 | $1,174.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $588.84 | Professional | 52 · Reduced service | $338.84 | $338.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $234.42 | Professional | 53 · Discontinued | $138.04 | $138.04 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $177.83 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $117.49 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $117.49 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,412.54 Median $3,467.37 Typical High $6,606.93 | Facility | None | $1,412.54 | $3,467.37 | $6,606.93 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,122.02 | $1,174.90 | $1,174.90 |
CareSource Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $1,380.38 | Professional | None | $537.03 | $741.31 | $1,380.38 |
Health Alliance Plan Setting Facility Modifier None Typical Low $676.08 Median $2,290.87 Typical High $2,511.89 | Facility | None | $676.08 | $2,290.87 | $2,511.89 |
Health Alliance Plan Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $1,202.26 | Professional | None | $676.08 | $933.25 | $1,202.26 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $134.90 | $134.90 | $134.90 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $100.00 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $67.61 |
Priority Health Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Priority Health Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $1,318.26 | Professional | None | $537.03 | $741.31 | $1,318.26 |
United Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $1,584.89 | Facility | None | $776.25 | $912.01 | $1,584.89 |
United Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $851.14 | Professional | None | $489.78 | $588.84 | $851.14 |
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | RR · Rental | $1,174.90 | $1,174.90 | $1,174.90 |
Where Michigan sits
The same service costs 4.6 times more in Hawaii 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· 16th of 51
$933
HI $2,455DE $537
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.