How much rates vary
Facilitymedian $6,457 · 10th to 90th $2,512 to $19,055Professionalmedian $3,162 · 10th to 90th $2,089 to $4,467
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 $2,511.89 Median $2,511.89 Typical High $4,365.16 | Facility | None | $2,511.89 | $2,511.89 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $4,365.16 | Professional | None | $2,511.89 | $2,511.89 | $4,365.16 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,258.93 Median $1,258.93 Typical High $2,187.76 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $870.96 | Professional | 53 · Discontinued | $501.19 | $501.19 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $660.69 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $660.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $251.19 Typical High $436.52 | Professional | 56 · Pre-op care only | $251.19 | $251.19 | $436.52 |
BCBS Michigan Setting Facility Modifier None Typical Low $5,248.07 Median $12,882.50 Typical High $24,547.09 | Facility | None | $5,248.07 | $12,882.50 | $24,547.09 |
BCBS Michigan Setting Professional Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,168.69 | $4,365.16 | $4,365.16 |
CareSource Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,754.23 Typical High $4,897.79 | Professional | None | $1,995.26 | $2,754.23 | $4,897.79 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,511.89 Median $8,511.38 Typical High $9,332.54 | Facility | None | $2,511.89 | $8,511.38 | $9,332.54 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $4,466.84 | Professional | None | $2,511.89 | $3,467.37 | $4,466.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,258.93 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $501.19 | $501.19 | $501.19 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $380.19 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $251.19 | $251.19 | $251.19 |
Priority Health Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Priority Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,754.23 Typical High $4,466.84 | Professional | None | $1,995.26 | $2,754.23 | $4,466.84 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $5,370.32 | Facility | None | $2,187.76 | $2,398.83 | $5,370.32 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $3,019.95 | Professional | None | $1,659.59 | $2,089.30 | $3,019.95 |
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 $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | RR · Rental | $4,365.16 | $4,365.16 | $4,365.16 |
Where Michigan sits
The same service costs 2.6 times more in Hawaii than in West Virginia. 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· 18th of 51
$3,162
HI $5,129WV $1,995
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.