How much rates vary
Facilitymedian $2,884 · 10th to 90th $1,202 to $9,333Professionalmedian $1,549 · 10th to 90th $1,000 to $2,188
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 $1,202.26 Median $1,202.26 Typical High $2,137.96 | Facility | None | $1,202.26 | $1,202.26 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $2,137.96 | Professional | None | $1,202.26 | $1,202.26 | $2,137.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $1,071.52 | Professional | 52 · Reduced service | $602.56 | $602.56 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $426.58 | Professional | 53 · Discontinued | $239.88 | $239.88 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $316.23 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $213.80 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $213.80 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,570.40 Median $6,309.57 Typical High $11,748.98 | Facility | None | $2,570.40 | $6,309.57 | $11,748.98 |
BCBS Michigan Setting Professional Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,041.74 | $2,137.96 | $2,137.96 |
CareSource Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna 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 Professional Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $2,187.76 | Professional | None | $1,000.00 | $1,380.38 | $2,187.76 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,202.26 Median $4,168.69 Typical High $4,466.84 | Facility | None | $1,202.26 | $4,168.69 | $4,466.84 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $2,187.76 | Professional | None | $1,202.26 | $1,698.24 | $2,187.76 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $245.47 | $245.47 | $245.47 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $181.97 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Priority Health 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 |
Priority Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $1,949.84 | Professional | None | $1,000.00 | $1,380.38 | $1,949.84 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,047.13 Typical High $2,398.83 | Facility | None | $933.25 | $1,047.13 | $2,398.83 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,023.29 Typical High $1,380.38 | Professional | None | $724.44 | $1,023.29 | $1,380.38 |
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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | RR · Rental | $2,137.96 | $2,137.96 | $2,137.96 |
Where Michigan sits
The same service costs 2.5 times more in Hawaii than in Washington, DC. 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
$1,549
HI $2,291DC $933
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.