How much rates vary
Facilitymedian $417 · 10th to 90th $141 to $1,202Professionalmedian $195 · 10th to 90th $129 to $282
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 $158.49 Median $275.42 Typical High $275.42 | Facility | None | $158.49 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $275.42 | Professional | None | $158.49 | $158.49 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $138.04 | Professional | 52 · Reduced service | $79.43 | $79.43 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $54.95 | Professional | 53 · Discontinued | $31.62 | $31.62 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $40.74 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $27.54 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $18.20 Median $281.84 Typical High $281.84 | Professional | None | $18.20 | $281.84 | $281.84 |
BCBS Michigan Setting Facility Modifier None Typical Low $331.13 Median $812.83 Typical High $1,548.82 | Facility | None | $331.13 | $812.83 | $1,548.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $263.03 Median $275.42 Typical High $275.42 | Professional | None | $263.03 | $275.42 | $275.42 |
CareSource Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
CareSource Setting Professional Modifier None Typical Low $275.42 Median $389.05 Typical High $389.05 | Professional | None | $275.42 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $144.54 | Facility | None | $141.25 | $141.25 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $302.00 | Professional | None | $104.71 | $141.25 | $302.00 |
Health Alliance Plan Setting Facility Modifier None Typical Low $4.68 Median $436.52 Typical High $512.86 | Facility | None | $4.68 | $436.52 | $512.86 |
Health Alliance Plan Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $281.84 | Professional | None | $154.88 | $181.97 | $281.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $23.44 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $15.49 |
Priority Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $144.54 | Facility | None | $141.25 | $141.25 | $144.54 |
Priority Health Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $275.42 | Professional | None | $104.71 | $141.25 | $275.42 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $398.11 | Facility | None | $281.84 | $331.13 | $398.11 |
United Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $204.17 | Professional | None | $102.33 | $128.82 | $204.17 |
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 $275.42 Median $275.42 Typical High $275.42 | Professional | RR · Rental | $275.42 | $275.42 | $275.42 |
Where Michigan sits
The same service costs 2.2 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· 20th of 51
$200
HI $275DE $126
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.