How much rates vary
Facilitymedian $141 · 10th to 90th $56 to $407Professionalmedian $68 · 10th to 90th $44 to $95
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 $53.70 Median $93.33 Typical High $93.33 | Facility | None | $53.70 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $93.33 | Professional | None | $50.12 | $53.70 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $26.92 Typical High $46.77 | Professional | 52 · Reduced service | $26.92 | $26.92 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $18.62 | Professional | 53 · Discontinued | $10.72 | $10.72 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $13.80 | Professional | 55 · Aftercare only | $8.13 | $8.13 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.37 | $5.37 | $9.33 |
BCBS Michigan Setting Facility Modifier None Typical Low $112.20 Median $275.42 Typical High $524.81 | Facility | None | $112.20 | $275.42 | $524.81 |
BCBS Michigan Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $93.33 | Professional | None | $89.13 | $93.33 | $93.33 |
CareSource Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $63.10 | Facility | None | $56.23 | $56.23 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $102.33 | Professional | None | $41.69 | $56.23 | $102.33 |
Health Alliance Plan Setting Facility Modifier None Typical Low $53.70 Median $181.97 Typical High $199.53 | Facility | None | $53.70 | $181.97 | $199.53 |
Health Alliance Plan Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $95.50 | Professional | None | $53.70 | $67.61 | $95.50 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $26.30 | $26.30 | $26.30 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 55 · Aftercare only | $7.94 | $7.94 | $7.94 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 56 · Pre-op care only | $5.37 | $5.37 | $5.37 |
Priority Health Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $63.10 | Facility | None | $56.23 | $56.23 | $63.10 |
Priority Health Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $93.33 | Professional | None | $41.69 | $56.23 | $93.33 |
United Setting Facility Modifier None Typical Low $44.67 Median $95.50 Typical High $112.20 | Facility | None | $44.67 | $95.50 | $112.20 |
United Setting Professional Modifier None Typical Low $34.67 Median $43.65 Typical High $63.10 | Professional | None | $34.67 | $43.65 | $63.10 |
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 $93.33 Median $93.33 Typical High $93.33 | Professional | RR · Rental | $93.33 | $93.33 | $93.33 |
Where Michigan sits
The same service costs 2.6 times more in Kansas than in Arizona. 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
$72.44
KS $107AZ $41.69
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.