How much rates vary
Facilitymedian $178 · 10th to 90th $78 to $525Professionalmedian $87 · 10th to 90th $58 to $123
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 $69.18 Median $120.23 Typical High $120.23 | Facility | None | $69.18 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $120.23 | Professional | None | $69.18 | $69.18 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $60.26 | Professional | 52 · Reduced service | $34.67 | $34.67 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $23.99 | Professional | 53 · Discontinued | $13.80 | $13.80 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.47 Typical High $17.78 | Professional | 55 · Aftercare only | $10.47 | $10.47 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $12.02 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $12.02 |
BCBS Michigan Setting Facility Modifier None Typical Low $144.54 Median $354.81 Typical High $676.08 | Facility | None | $144.54 | $354.81 | $676.08 |
BCBS Michigan Setting Professional Modifier None Typical Low $114.82 Median $120.23 Typical High $120.23 | Professional | None | $114.82 | $120.23 | $120.23 |
CareSource Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $67.61 Typical High $85.11 | Professional | None | $61.66 | $67.61 | $85.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $67.61 Median $234.42 Typical High $257.04 | Facility | None | $67.61 | $234.42 | $257.04 |
Health Alliance Plan Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $123.03 | Professional | None | $67.61 | $95.50 | $123.03 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $33.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $10.23 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $6.92 |
Priority Health Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Priority Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $100.00 | Professional | None | $67.61 | $67.61 | $100.00 |
United Setting Facility Modifier None Typical Low $48.98 Median $64.57 Typical High $154.88 | Facility | None | $48.98 | $64.57 | $154.88 |
United Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $85.11 | Professional | None | $47.86 | $56.23 | $85.11 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | RR · Rental | $120.23 | $120.23 | $120.23 |
Where Michigan sits
The same service costs 2.2 times more in Hawaii than in Alabama. 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
$89.13
HI $138AL $61.66
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.