How much rates vary
Facilitymedian $851 · 10th to 90th $372 to $2,512Professionalmedian $417 · 10th to 90th $282 to $589
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 $331.13 Median $575.44 Typical High $575.44 | Facility | None | $331.13 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $575.44 | Professional | None | $331.13 | $331.13 | $575.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $288.40 | Professional | 52 · Reduced service | $165.96 | $165.96 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $114.82 | Professional | 53 · Discontinued | $67.61 | $67.61 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $87.10 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $57.54 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $57.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $691.83 Median $1,698.24 Typical High $3,235.94 | Facility | None | $691.83 | $1,698.24 | $3,235.94 |
BCBS Michigan Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $575.44 | Professional | None | $549.54 | $575.44 | $575.44 |
CareSource Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $371.54 | Professional | None | $275.42 | $323.59 | $371.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $331.13 Median $1,122.02 Typical High $1,230.27 | Facility | None | $331.13 | $1,122.02 | $1,230.27 |
Health Alliance Plan Setting Professional Modifier None Typical Low $331.13 Median $457.09 Typical High $588.84 | Professional | None | $331.13 | $457.09 | $588.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $48.98 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
Priority Health Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Priority Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $478.63 | Professional | None | $323.59 | $323.59 | $478.63 |
United Setting Facility Modifier None Typical Low $269.15 Median $371.54 Typical High $758.58 | Facility | None | $269.15 | $371.54 | $758.58 |
United Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $416.87 | Professional | None | $234.42 | $281.84 | $416.87 |
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 $575.44 Median $575.44 Typical High $575.44 | Professional | RR · Rental | $575.44 | $575.44 | $575.44 |
Where Michigan sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 17th of 51
$437
HI $813VT $275
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.