How much rates vary
Facilitymedian $129 · 10th to 90th $68 to $407Professionalmedian $85 · 10th to 90th $56 to $120
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 $67.61 Median $117.49 Typical High $117.49 | Facility | None | $67.61 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $67.61 Typical High $117.49 | Professional | None | $63.10 | $67.61 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $58.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $23.44 | Professional | 53 · Discontinued | $13.49 | $13.49 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $17.38 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $11.75 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $11.75 |
Ambetter Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $89.13 | Professional | None | $57.54 | $67.61 | $89.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $141.25 Median $346.74 Typical High $645.65 | Facility | None | $141.25 | $346.74 | $645.65 |
BCBS Michigan Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $117.49 | Professional | None | $109.65 | $117.49 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
CareSource Setting Professional Modifier None Typical Low $117.49 Median $165.96 Typical High $165.96 | Professional | None | $117.49 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $72.44 | Facility | None | $67.61 | $67.61 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $125.89 | Professional | None | $50.12 | $67.61 | $125.89 |
Health Alliance Plan Setting Facility Modifier None Typical Low $64.57 Median $128.82 Typical High $245.47 | Facility | None | $64.57 | $128.82 | $245.47 |
Health Alliance Plan Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $120.23 | Professional | None | $66.07 | $85.11 | $120.23 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $33.11 | $33.11 | $33.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $13.18 | $13.18 | $13.18 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $10.00 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $6.61 |
Priority Health Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $72.44 | Facility | None | $67.61 | $67.61 | $72.44 |
Priority Health Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $112.20 | Professional | None | $50.12 | $67.61 | $112.20 |
United Setting Facility Modifier None Typical Low $67.61 Median $77.62 Typical High $138.04 | Facility | None | $67.61 | $77.62 | $138.04 |
United Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $77.62 | Professional | None | $41.69 | $54.95 | $77.62 |
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 $117.49 Median $117.49 Typical High $117.49 | Professional | RR · Rental | $117.49 | $117.49 | $117.49 |
Where Michigan sits
The same service costs 4.1 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· 17th of 51
$85.11
HI $209DE $51.29
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.