How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,738 to $14,454Professionalmedian $2,399 · 10th to 90th $1,549 to $3,388
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 $1,862.09 Median $1,862.09 Typical High $3,311.31 | Facility | None | $1,862.09 | $1,862.09 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,311.31 | Professional | None | $1,862.09 | $1,862.09 | $3,311.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $933.25 Typical High $1,659.59 | Professional | 52 · Reduced service | $933.25 | $933.25 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $660.69 | Professional | 53 · Discontinued | $371.54 | $371.54 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $489.78 | Professional | 55 · Aftercare only | $281.84 | $281.84 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $331.13 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $331.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,981.07 Median $9,772.37 Typical High $18,620.87 | Facility | None | $3,981.07 | $9,772.37 | $18,620.87 |
BCBS Michigan Setting Professional Modifier None Typical Low $3,162.28 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,162.28 | $3,311.31 | $3,311.31 |
CareSource Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $3,467.37 | Professional | None | $1,258.93 | $1,737.80 | $3,467.37 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,862.09 Median $6,456.54 Typical High $6,918.31 | Facility | None | $1,862.09 | $6,456.54 | $6,918.31 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,862.09 Median $2,630.27 Typical High $3,388.44 | Professional | None | $1,862.09 | $2,630.27 | $3,388.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $933.25 | $933.25 | $933.25 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $380.19 | $380.19 | $380.19 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $281.84 | $281.84 | $281.84 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $186.21 |
Priority Health Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Priority Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $3,090.30 | Professional | None | $1,258.93 | $1,737.80 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $3,801.89 | Facility | None | $1,445.44 | $1,621.81 | $3,801.89 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,148.15 | $1,584.89 | $2,187.76 |
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 $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | RR · Rental | $3,311.31 | $3,311.31 | $3,311.31 |
Where Michigan sits
The same service costs 2.7 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· 16th of 51
$2,399
HI $3,388DE $1,259
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.