How much rates vary
Facilitymedian $2,455 · 10th to 90th $912 to $8,318Professionalmedian $1,380 · 10th to 90th $912 to $1,950
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 $1,096.48 Median $1,096.48 Typical High $1,905.46 | Facility | None | $1,096.48 | $1,096.48 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,905.46 | Professional | None | $1,096.48 | $1,096.48 | $1,905.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $549.54 Typical High $954.99 | Professional | 52 · Reduced service | $549.54 | $549.54 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $389.05 | Professional | 53 · Discontinued | $218.78 | $218.78 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $288.40 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $190.55 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $190.55 |
Ambetter Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,344.23 Median $5,754.40 Typical High $10,715.19 | Facility | None | $2,344.23 | $5,754.40 | $10,715.19 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,819.70 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,819.70 | $1,905.46 | $1,905.46 |
CareSource Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $1,621.81 | Professional | None | $660.69 | $912.01 | $1,621.81 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,096.48 Median $3,715.35 Typical High $4,073.80 | Facility | None | $1,096.48 | $3,715.35 | $4,073.80 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $1,949.84 | Professional | None | $1,096.48 | $1,548.82 | $1,949.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $165.96 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Priority Health Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Priority Health Setting Professional Modifier None Typical Low $912.01 Median $1,288.25 Typical High $1,621.81 | Professional | None | $912.01 | $1,288.25 | $1,621.81 |
United Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $1,949.84 | Facility | None | $812.83 | $954.99 | $1,949.84 |
United Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $1,174.90 | Professional | None | $645.65 | $912.01 | $1,174.90 |
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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | RR · Rental | $1,905.46 | $1,905.46 | $1,905.46 |
Where Michigan sits
The same service costs 3.2 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· 13th of 51
$1,380
HI $2,138DE $661
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.