How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,995 to $16,218Professionalmedian $2,951 · 10th to 90th $1,738 to $3,802
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 $2,137.96 Median $3,715.35 Typical High $3,715.35 | Facility | None | $2,137.96 | $3,715.35 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,715.35 | Professional | None | $2,137.96 | $2,137.96 | $3,715.35 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,071.52 Median $1,071.52 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $741.31 | Professional | 53 · Discontinued | $426.58 | $426.58 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $549.54 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $371.54 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $371.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $4,466.84 Median $10,964.78 Typical High $20,892.96 | Facility | None | $4,466.84 | $10,964.78 | $20,892.96 |
BCBS Michigan Setting Professional Modifier None Typical Low $3,548.13 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,548.13 | $3,715.35 | $3,715.35 |
CareSource Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $3,981.07 | Professional | None | $1,479.11 | $1,995.26 | $3,981.07 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,137.96 Median $7,244.36 Typical High $7,943.28 | Facility | None | $2,137.96 | $7,244.36 | $7,943.28 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $3,801.89 | Professional | None | $2,137.96 | $2,951.21 | $3,801.89 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,047.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 53 · Discontinued | $426.58 | $426.58 | $426.58 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $316.23 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $213.80 |
Priority Health Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Priority Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $3,630.78 | Professional | None | $1,479.11 | $1,995.26 | $3,630.78 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $4,365.16 | Facility | None | $2,137.96 | $2,951.21 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $2,454.71 | Professional | None | $1,348.96 | $1,737.80 | $2,454.71 |
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 $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | RR · Rental | $3,715.35 | $3,715.35 | $3,715.35 |
Where Michigan sits
The same service costs 4.4 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· 12th of 51
$2,951
HI $6,457DE $1,479
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.