How much rates vary
Facilitymedian $776 · 10th to 90th $302 to $2,344Professionalmedian $380 · 10th to 90th $257 to $537
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 $302.00 Median $302.00 Typical High $537.03 | Facility | None | $302.00 | $302.00 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $537.03 | Professional | None | $302.00 | $302.00 | $537.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $263.03 | Professional | 52 · Reduced service | $151.36 | $151.36 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $107.15 | Professional | 53 · Discontinued | $60.26 | $60.26 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $79.43 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $53.70 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $53.70 |
BCBS Michigan Setting Facility Modifier None Typical Low $645.65 Median $1,584.89 Typical High $2,951.21 | Facility | None | $645.65 | $1,584.89 | $2,951.21 |
BCBS Michigan Setting Professional Modifier None Typical Low $501.19 Median $537.03 Typical High $537.03 | Professional | None | $501.19 | $537.03 | $537.03 |
CareSource Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $562.34 | Professional | None | $251.19 | $346.74 | $562.34 |
Health Alliance Plan Setting Facility Modifier None Typical Low $302.00 Median $1,047.13 Typical High $1,122.02 | Facility | None | $302.00 | $1,047.13 | $1,122.02 |
Health Alliance Plan Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $549.54 | Professional | None | $302.00 | $426.58 | $549.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $151.36 | $151.36 | $151.36 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $60.26 | $60.26 | $60.26 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $45.71 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $30.20 |
Priority Health Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Priority Health Setting Professional Modifier None Typical Low $346.74 Median $354.81 Typical High $562.34 | Professional | None | $346.74 | $354.81 | $562.34 |
United Setting Facility Modifier None Typical Low $173.78 Median $251.19 Typical High $676.08 | Facility | None | $173.78 | $251.19 | $676.08 |
United Setting Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $380.19 | Professional | None | $208.93 | $257.04 | $380.19 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | RR · Rental | $537.03 | $537.03 | $537.03 |
Where Michigan sits
The same service costs 2.9 times more in Iowa than in Kansas. 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· 16th of 51
$380
IA $603KS $209
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.