How much rates vary
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 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 $141.25 Median $338.84 Typical High $645.65 | Facility | None | $141.25 | $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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $70.79 Typical High $128.82 | Professional | None | $51.29 | $70.79 | $128.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $66.07 Median $194.98 Typical High $213.80 | Facility | None | $66.07 | $194.98 | $213.80 |
Health Alliance Plan Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $117.49 | Professional | None | $66.07 | $79.43 | $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 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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Priority Health Setting Professional Modifier None Typical Low $51.29 Median $70.79 Typical High $114.82 | Professional | None | $51.29 | $70.79 | $114.82 |
United Setting Facility Modifier None Typical Low $57.54 Median $63.10 Typical High $141.25 | Facility | None | $57.54 | $63.10 | $141.25 |
United Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $87.10 | Professional | None | $42.66 | $54.95 | $87.10 |
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 2.4 times more in Montana 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
$85.11
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.