How much rates vary
Facilitymedian $170 · 10th to 90th $66 to $501Professionalmedian $91 · 10th to 90th $54 to $117
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 $67.61 Median $114.82 Typical High $114.82 | Facility | None | $67.61 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $114.82 | Professional | None | $67.61 | $67.61 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $57.54 | Professional | 52 · Reduced service | $33.88 | $33.88 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $22.91 | Professional | 53 · Discontinued | $13.49 | $13.49 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $17.38 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $11.48 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $11.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $138.04 Median $338.84 Typical High $645.65 | Facility | None | $138.04 | $338.84 | $645.65 |
BCBS Michigan Setting Professional Modifier None Typical Low $109.65 Median $114.82 Typical High $114.82 | Professional | None | $109.65 | $114.82 | $114.82 |
CareSource Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $66.07 Typical High $128.82 | Professional | None | $48.98 | $66.07 | $128.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $66.07 Median $223.87 Typical High $245.47 | Facility | None | $66.07 | $223.87 | $245.47 |
Health Alliance Plan Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $117.49 | Professional | None | $66.07 | $89.13 | $117.49 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $33.11 | $33.11 | $33.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $13.18 | $13.18 | $13.18 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $10.00 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $6.61 |
Priority Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Priority Health Setting Professional Modifier None Typical Low $48.98 Median $66.07 Typical High $117.49 | Professional | None | $48.98 | $66.07 | $117.49 |
United Setting Facility Modifier None Typical Low $61.66 Median $69.18 Typical High $141.25 | Facility | None | $61.66 | $69.18 | $141.25 |
United Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $79.43 | Professional | None | $43.65 | $53.70 | $79.43 |
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 $114.82 Median $114.82 Typical High $114.82 | Professional | RR · Rental | $114.82 | $114.82 | $114.82 |
Where Michigan sits
The same service costs 3.5 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· 14th of 51
$91.20
HI $174FL $48.98
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.