How much rates vary
Facilitymedian $135 · 10th to 90th $62 to $457Professionalmedian $98 · 10th to 90th $52 to $129
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 $61.66 Median $104.71 Typical High $104.71 | Facility | None | $61.66 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $104.71 | Professional | None | $61.66 | $61.66 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $52.48 | Professional | 52 · Reduced service | $30.90 | $30.90 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $21.38 | Professional | 53 · Discontinued | $12.30 | $12.30 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $15.85 | Professional | 55 · Aftercare only | $9.12 | $9.12 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $10.47 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $10.47 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $95.50 | Professional | None | $81.28 | $81.28 | $95.50 |
BCBS Michigan Setting Facility Modifier None Typical Low $128.82 Median $316.23 Typical High $588.84 | Facility | None | $128.82 | $316.23 | $588.84 |
BCBS Michigan Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | None | $100.00 | $104.71 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $134.90 | Professional | None | $95.50 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $61.66 Typical High $61.66 | Facility | None | $60.26 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $117.49 | Professional | None | $44.67 | $61.66 | $117.49 |
Health Alliance Plan Setting Facility Modifier None Typical Low $60.26 Median $263.03 Typical High $295.12 | Facility | None | $60.26 | $263.03 | $295.12 |
Health Alliance Plan Setting Professional Modifier None Typical Low $60.26 Median $100.00 Typical High $131.83 | Professional | None | $60.26 | $100.00 | $131.83 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 55 · Aftercare only | $9.12 | $9.12 | $9.12 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $6.03 |
Priority Health Setting Facility Modifier None Typical Low $60.26 Median $61.66 Typical High $61.66 | Facility | None | $60.26 | $61.66 | $61.66 |
Priority Health Setting Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $107.15 | Professional | None | $44.67 | $61.66 | $107.15 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $131.83 | Facility | None | $72.44 | $72.44 | $131.83 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $79.43 | Professional | None | $39.81 | $50.12 | $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 $104.71 Median $104.71 Typical High $104.71 | Professional | RR · Rental | $104.71 | $104.71 | $104.71 |
Where Michigan sits
The same service costs 2.1 times more in Wisconsin than in New Jersey. 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· 2nd of 51
$100
WI $100NJ $47.86
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.