How much rates vary
Facilitymedian $5,370 · 10th to 90th $2,291 to $16,596Professionalmedian $2,754 · 10th to 90th $1,820 to $3,890
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 $2,187.76 Median $2,187.76 Typical High $3,801.89 | Facility | None | $2,187.76 | $2,187.76 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $3,801.89 | Professional | None | $2,187.76 | $2,187.76 | $3,801.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,096.48 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $776.25 | Professional | 53 · Discontinued | $436.52 | $436.52 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $575.44 | Professional | 55 · Aftercare only | $331.13 | $331.13 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $380.19 | Professional | 56 · Pre-op care only | $218.78 | $218.78 | $380.19 |
BCBS Michigan Setting Facility Modifier None Typical Low $4,677.35 Median $11,220.18 Typical High $21,379.62 | Facility | None | $4,677.35 | $11,220.18 | $21,379.62 |
BCBS Michigan Setting Professional Modifier None Typical Low $3,630.78 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,630.78 | $3,801.89 | $3,801.89 |
CareSource Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $4,073.80 | Professional | None | $1,819.70 | $2,454.71 | $4,073.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,187.76 Median $7,413.10 Typical High $8,128.31 | Facility | None | $2,187.76 | $7,413.10 | $8,128.31 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2,187.76 Median $3,019.95 Typical High $3,890.45 | Professional | None | $2,187.76 | $3,019.95 | $3,890.45 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,096.48 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $436.52 | $436.52 | $436.52 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $331.13 | $331.13 | $331.13 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $218.78 | $218.78 | $218.78 |
Priority Health Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Priority Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $3,715.35 | Professional | None | $1,819.70 | $2,454.71 | $3,715.35 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $4,466.84 | Facility | None | $2,187.76 | $2,290.87 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,380.38 | $1,819.70 | $2,570.40 |
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 $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | RR · Rental | $3,801.89 | $3,801.89 | $3,801.89 |
Where Michigan sits
The same service costs 3.2 times more in Hawaii than in Washington, DC. 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
$2,754
HI $5,623DC $1,778
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.