How much rates vary
Facilitymedian $7,413 · 10th to 90th $2,884 to $25,119Professionalmedian $4,169 · 10th to 90th $2,692 to $5,888
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 $3,311.31 Median $3,311.31 Typical High $5,754.40 | Facility | None | $3,311.31 | $3,311.31 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $5,754.40 | Professional | None | $3,311.31 | $3,311.31 | $5,754.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,659.59 Median $1,659.59 Typical High $2,884.03 | Professional | 52 · Reduced service | $1,659.59 | $1,659.59 | $2,884.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $660.69 Median $660.69 Typical High $1,148.15 | Professional | 53 · Discontinued | $660.69 | $660.69 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $489.78 Typical High $870.96 | Professional | 55 · Aftercare only | $489.78 | $489.78 | $870.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $331.13 Median $331.13 Typical High $575.44 | Professional | 56 · Pre-op care only | $331.13 | $331.13 | $575.44 |
BCBS Michigan Setting Facility Modifier None Typical Low $6,918.31 Median $16,982.44 Typical High $32,359.37 | Facility | None | $6,918.31 | $16,982.44 | $32,359.37 |
BCBS Michigan Setting Professional Modifier None Typical Low $5,495.41 Median $5,754.40 Typical High $5,754.40 | Professional | None | $5,495.41 | $5,754.40 | $5,754.40 |
CareSource Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna 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 Professional Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $5,623.41 | Professional | None | $2,089.30 | $2,884.03 | $5,623.41 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3,311.31 Median $11,220.18 Typical High $12,302.69 | Facility | None | $3,311.31 | $11,220.18 | $12,302.69 |
Health Alliance Plan Setting Professional Modifier None Typical Low $3,311.31 Median $4,570.88 Typical High $5,888.44 | Professional | None | $3,311.31 | $4,570.88 | $5,888.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,659.59 | $1,659.59 | $1,659.59 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | 53 · Discontinued | $660.69 | $660.69 | $660.69 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 55 · Aftercare only | $489.78 | $489.78 | $489.78 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 56 · Pre-op care only | $331.13 | $331.13 | $331.13 |
Priority Health 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 |
Priority Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $5,128.61 | Professional | None | $2,089.30 | $2,884.03 | $5,128.61 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,090.30 Typical High $6,165.95 | Facility | None | $3,019.95 | $3,090.30 | $6,165.95 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,754.23 Typical High $3,630.78 | Professional | None | $1,905.46 | $2,754.23 | $3,630.78 |
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 $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | RR · Rental | $5,754.40 | $5,754.40 | $5,754.40 |
Where Michigan sits
The same service costs 3.4 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· 14th of 51
$4,169
HI $7,079DE $2,089
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.