How much rates vary
Facilitymedian $1,072 · 10th to 90th $427 to $3,236Professionalmedian $537 · 10th to 90th $355 to $759
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 $426.58 Median $426.58 Typical High $741.31 | Facility | None | $426.58 | $426.58 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $741.31 | Professional | None | $426.58 | $426.58 | $741.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $371.54 | Professional | 52 · Reduced service | $213.80 | $213.80 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $151.36 | Professional | 53 · Discontinued | $85.11 | $85.11 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $112.20 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $74.13 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $74.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $912.01 Median $2,238.72 Typical High $4,168.69 | Facility | None | $912.01 | $2,238.72 | $4,168.69 |
BCBS Michigan Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $741.31 | Professional | None | $707.95 | $741.31 | $741.31 |
CareSource Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $537.03 | Professional | None | $354.81 | $489.78 | $537.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $426.58 Median $1,445.44 Typical High $1,584.89 | Facility | None | $426.58 | $1,445.44 | $1,584.89 |
Health Alliance Plan Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $758.58 | Professional | None | $426.58 | $602.56 | $758.58 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $64.57 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
Priority Health Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Priority Health Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $616.60 | Professional | None | $354.81 | $489.78 | $616.60 |
United Setting Facility Modifier None Typical Low $165.96 Median $323.59 Typical High $891.25 | Facility | None | $165.96 | $323.59 | $891.25 |
United Setting Professional Modifier None Typical Low $269.15 Median $354.81 Typical High $501.19 | Professional | None | $269.15 | $354.81 | $501.19 |
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 $741.31 Median $741.31 Typical High $741.31 | Professional | RR · Rental | $741.31 | $741.31 | $741.31 |
Where Michigan sits
The same service costs 2.4 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· 13th of 51
$550
IA $776KS $324
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.