How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,445 to $10,965Professionalmedian $1,820 · 10th to 90th $1,175 to $2,570
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 $1,412.54 Median $1,412.54 Typical High $2,511.89 | Facility | None | $1,412.54 | $1,412.54 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,511.89 | Professional | None | $1,412.54 | $1,412.54 | $2,511.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $1,258.93 | Professional | 52 · Reduced service | $707.95 | $707.95 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $501.19 | Professional | 53 · Discontinued | $288.40 | $288.40 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $371.54 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $251.19 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $251.19 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,019.95 Median $7,413.10 Typical High $14,125.38 | Facility | None | $3,019.95 | $7,413.10 | $14,125.38 |
BCBS Michigan Setting Professional Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,398.83 | $2,511.89 | $2,511.89 |
CareSource Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $2,570.40 | Professional | None | $1,174.90 | $1,621.81 | $2,570.40 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,445.44 Median $4,897.79 Typical High $5,370.32 | Facility | None | $1,445.44 | $4,897.79 | $5,370.32 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,445.44 Median $1,995.26 Typical High $2,570.40 | Professional | None | $1,445.44 | $1,995.26 | $2,570.40 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $288.40 | $288.40 | $288.40 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $213.80 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $144.54 |
Priority Health Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Priority Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $2,344.23 | Professional | None | $1,174.90 | $1,621.81 | $2,344.23 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $2,818.38 | Facility | None | $776.25 | $1,380.38 | $2,818.38 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,659.59 | Professional | None | $870.96 | $1,202.26 | $1,659.59 |
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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | RR · Rental | $2,511.89 | $2,511.89 | $2,511.89 |
Where Michigan sits
The same service costs 2.7 times more in Hawaii than in Pennsylvania. 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
$1,820
HI $3,020PA $1,122
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.