How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,820 to $15,136Professionalmedian $2,512 · 10th to 90th $1,622 to $3,548
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 $1,995.26 Median $1,995.26 Typical High $3,467.37 | Facility | None | $1,995.26 | $1,995.26 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,467.37 | Professional | None | $1,995.26 | $1,995.26 | $3,467.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,000.00 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $691.83 | Professional | 53 · Discontinued | $398.11 | $398.11 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $524.81 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $346.74 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $346.74 |
BCBS Michigan Setting Facility Modifier None Typical Low $4,168.69 Median $10,232.93 Typical High $19,498.45 | Facility | None | $4,168.69 | $10,232.93 | $19,498.45 |
BCBS Michigan Setting Professional Modifier None Typical Low $3,311.31 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,311.31 | $3,467.37 | $3,467.37 |
CareSource Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $3,630.78 | Professional | None | $1,318.26 | $1,819.70 | $3,630.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,995.26 Median $6,760.83 Typical High $7,413.10 | Facility | None | $1,995.26 | $6,760.83 | $7,413.10 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,995.26 Median $2,754.23 Typical High $3,548.13 | Professional | None | $1,995.26 | $2,754.23 | $3,548.13 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,000.00 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $398.11 | $398.11 | $398.11 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $295.12 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $199.53 |
Priority Health Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Priority Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $3,235.94 | Professional | None | $1,318.26 | $1,819.70 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $3,981.07 | Facility | None | $1,778.28 | $2,041.74 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,202.26 | $1,659.59 | $2,290.87 |
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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | RR · Rental | $3,467.37 | $3,467.37 | $3,467.37 |
Where Michigan sits
The same service costs 3.1 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· 15th of 51
$2,512
HI $4,074DE $1,318
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.