How much rates vary
Facilitymedian $141 · 10th to 90th $54 to $437Professionalmedian $68 · 10th to 90th $47 to $100
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 $57.54 Median $100.00 Typical High $100.00 | Facility | None | $57.54 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $100.00 | Professional | None | $57.54 | $57.54 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $50.12 | Professional | 52 · Reduced service | $28.84 | $28.84 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $19.95 | Professional | 53 · Discontinued | $11.75 | $11.75 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $15.14 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $10.00 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $10.00 |
BCBS Michigan Setting Facility Modifier None Typical Low $120.23 Median $295.12 Typical High $562.34 | Facility | None | $120.23 | $295.12 | $562.34 |
BCBS Michigan Setting Professional Modifier None Typical Low $95.50 Median $100.00 Typical High $100.00 | Professional | None | $95.50 | $100.00 | $100.00 |
CareSource Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $53.70 Typical High $107.15 | Professional | None | $38.90 | $53.70 | $107.15 |
Health Alliance Plan Setting Facility Modifier None Typical Low $57.54 Median $154.88 Typical High $169.82 | Facility | None | $57.54 | $154.88 | $169.82 |
Health Alliance Plan Setting Professional Modifier None Typical Low $57.54 Median $66.07 Typical High $102.33 | Professional | None | $57.54 | $66.07 | $102.33 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $11.48 | $11.48 | $11.48 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $8.51 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $5.75 |
Priority Health Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Priority Health Setting Professional Modifier None Typical Low $38.90 Median $53.70 Typical High $95.50 | Professional | None | $38.90 | $53.70 | $95.50 |
United Setting Facility Modifier None Typical Low $16.98 Median $39.81 Typical High $117.49 | Facility | None | $16.98 | $39.81 | $117.49 |
United Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $72.44 | Professional | None | $35.48 | $46.77 | $72.44 |
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 $100.00 Median $100.00 Typical High $100.00 | Professional | RR · Rental | $100.00 | $100.00 | $100.00 |
Where Michigan sits
The same service costs 3.3 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· 19th of 51
$67.61
HI $135DE $40.74
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.