How much rates vary
Facilitymedian $562 · 10th to 90th $263 to $1,862Professionalmedian $309 · 10th to 90th $204 to $437
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 $251.19 Median $426.58 Typical High $426.58 | Facility | None | $251.19 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $426.58 | Professional | None | $251.19 | $251.19 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $213.80 | Professional | 52 · Reduced service | $125.89 | $125.89 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $87.10 | Professional | 53 · Discontinued | $50.12 | $50.12 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $64.57 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $42.66 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $42.66 |
BCBS Michigan Setting Facility Modifier None Typical Low $524.81 Median $1,288.25 Typical High $2,398.83 | Facility | None | $524.81 | $1,288.25 | $2,398.83 |
BCBS Michigan Setting Professional Modifier None Typical Low $407.38 Median $426.58 Typical High $426.58 | Professional | None | $407.38 | $426.58 | $426.58 |
CareSource Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $501.19 | Professional | None | $194.98 | $263.03 | $501.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $245.47 Median $831.76 Typical High $912.01 | Facility | None | $245.47 | $831.76 | $912.01 |
Health Alliance Plan Setting Professional Modifier None Typical Low $245.47 Median $309.03 Typical High $436.52 | Professional | None | $245.47 | $309.03 | $436.52 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $123.03 | $123.03 | $123.03 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $37.15 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $24.55 |
Priority Health Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Priority Health Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $457.09 | Professional | None | $194.98 | $263.03 | $457.09 |
United Setting Facility Modifier None Typical Low $213.80 Median $275.42 Typical High $562.34 | Facility | None | $213.80 | $275.42 | $562.34 |
United Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $309.03 | Professional | None | $169.82 | $204.17 | $309.03 |
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 $426.58 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $426.58 | $426.58 | $426.58 |
Where Michigan sits
The same service costs 4.7 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· 20th of 51
$309
HI $912DE $195
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.