How much rates vary
Facilitymedian $1,778 · 10th to 90th $617 to $4,898Professionalmedian $871 · 10th to 90th $525 to $1,122
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 $645.65 Median $1,096.48 Typical High $1,096.48 | Facility | None | $645.65 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,096.48 | Professional | None | $645.65 | $645.65 | $1,096.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $549.54 | Professional | 52 · Reduced service | $323.59 | $323.59 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $218.78 | Professional | 53 · Discontinued | $128.82 | $128.82 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $165.96 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $109.65 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $109.65 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,318.26 Median $3,235.94 Typical High $6,165.95 | Facility | None | $1,318.26 | $3,235.94 | $6,165.95 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,047.13 | $1,096.48 | $1,096.48 |
CareSource Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $616.60 Typical High $1,096.48 | Professional | None | $446.68 | $616.60 | $1,096.48 |
Health Alliance Plan Setting Facility Modifier None Typical Low $630.96 Median $2,041.74 Typical High $2,238.72 | Facility | None | $630.96 | $2,041.74 | $2,238.72 |
Health Alliance Plan Setting Professional Modifier None Typical Low $630.96 Median $870.96 Typical High $1,122.02 | Professional | None | $630.96 | $870.96 | $1,122.02 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $316.23 | $316.23 | $316.23 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $125.89 | $125.89 | $125.89 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $95.50 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $63.10 |
Priority Health Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Priority Health Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $1,096.48 | Professional | None | $616.60 | $870.96 | $1,096.48 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,621.81 | Facility | None | $1,148.15 | $1,348.96 | $1,621.81 |
United Setting Professional Modifier None Typical Low $407.38 Median $524.81 Typical High $831.76 | Professional | None | $407.38 | $524.81 | $831.76 |
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | RR · Rental | $1,096.48 | $1,096.48 | $1,096.48 |
Where Michigan sits
The same service costs 2.6 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· 16th of 51
$871
HI $1,175DE $447
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.