How much rates vary
Facilitymedian $2,344 · 10th to 90th $891 to $7,762Professionalmedian $1,413 · 10th to 90th $813 to $1,820
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 $1,023.29 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,023.29 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,778.28 | Professional | None | $1,023.29 | $1,023.29 | $1,778.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $512.86 Typical High $891.25 | Professional | 52 · Reduced service | $512.86 | $512.86 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $354.81 | Professional | 53 · Discontinued | $204.17 | $204.17 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $269.15 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $177.83 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $177.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $10,000.00 | Facility | None | $2,137.96 | $5,248.07 | $10,000.00 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,698.24 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,698.24 | $1,778.28 | $1,778.28 |
CareSource Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $1,778.28 | Professional | None | $645.65 | $891.25 | $1,778.28 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,023.29 Median $3,467.37 Typical High $3,801.89 | Facility | None | $1,023.29 | $3,467.37 | $3,801.89 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $1,819.70 | Professional | None | $1,023.29 | $1,412.54 | $1,819.70 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $512.86 | $512.86 | $512.86 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $204.17 | $204.17 | $204.17 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $102.33 |
Priority Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Priority Health Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $1,584.89 | Professional | None | $645.65 | $891.25 | $1,584.89 |
United Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,949.84 | Facility | None | $707.95 | $870.96 | $1,949.84 |
United Setting Professional Modifier None Typical Low $588.84 Median $831.76 Typical High $1,148.15 | Professional | None | $588.84 | $831.76 | $1,148.15 |
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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | RR · Rental | $1,778.28 | $1,778.28 | $1,778.28 |
Where Michigan sits
The same service costs 3.0 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· 8th of 51
$1,413
HI $1,950DE $646
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.