How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,778 to $14,791Professionalmedian $2,455 · 10th to 90th $1,585 to $3,467
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 $1,949.84 Median $1,949.84 Typical High $3,388.44 | Facility | None | $1,949.84 | $1,949.84 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,388.44 | Professional | None | $1,949.84 | $1,949.84 | $3,388.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $977.24 Median $977.24 Typical High $1,698.24 | Professional | 52 · Reduced service | $977.24 | $977.24 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $676.08 | Professional | 53 · Discontinued | $389.05 | $389.05 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $512.86 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $338.84 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $338.84 |
BCBS Michigan Setting Facility Modifier None Typical Low $4,073.80 Median $10,000.00 Typical High $19,054.61 | Facility | None | $4,073.80 | $10,000.00 | $19,054.61 |
BCBS Michigan Setting Professional Modifier None Typical Low $3,235.94 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,235.94 | $3,388.44 | $3,388.44 |
CareSource Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $3,548.13 | Professional | None | $1,288.25 | $1,778.28 | $3,548.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,949.84 Median $6,606.93 Typical High $7,244.36 | Facility | None | $1,949.84 | $6,606.93 | $7,244.36 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,949.84 Median $2,691.53 Typical High $3,467.37 | Professional | None | $1,949.84 | $2,691.53 | $3,467.37 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $977.24 | $977.24 | $977.24 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $389.05 | $389.05 | $389.05 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $288.40 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $194.98 |
Priority Health Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Priority Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $3,162.28 | Professional | None | $1,288.25 | $1,778.28 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $3,890.45 | Facility | None | $1,230.27 | $1,862.09 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $2,238.72 | Professional | None | $1,174.90 | $1,621.81 | $2,238.72 |
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 $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | RR · Rental | $3,388.44 | $3,388.44 | $3,388.44 |
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· 15th of 51
$2,455
HI $4,169DE $1,288
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.