How much rates vary
Facilitymedian $5,129 · 10th to 90th $2,291 to $17,378Professionalmedian $2,884 · 10th to 90th $1,905 to $4,074
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 $2,290.87 Median $2,290.87 Typical High $3,981.07 | Facility | None | $2,290.87 | $2,290.87 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,981.07 | Professional | None | $2,290.87 | $2,290.87 | $3,981.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,122.02 Median $1,122.02 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $794.33 | Professional | 53 · Discontinued | $457.09 | $457.09 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $602.56 | Professional | 55 · Aftercare only | $338.84 | $338.84 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $398.11 | Professional | 56 · Pre-op care only | $229.09 | $229.09 | $398.11 |
BCBS Michigan Setting Facility Modifier None Typical Low $4,786.30 Median $11,748.98 Typical High $22,387.21 | Facility | None | $4,786.30 | $11,748.98 | $22,387.21 |
BCBS Michigan Setting Professional Modifier None Typical Low $3,801.89 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,801.89 | $3,981.07 | $3,981.07 |
CareSource Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,570.40 Typical High $2,754.23 | Professional | None | $1,862.09 | $2,570.40 | $2,754.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,290.87 Median $7,762.47 Typical High $8,511.38 | Facility | None | $2,290.87 | $7,762.47 | $8,511.38 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2,290.87 Median $3,162.28 Typical High $4,073.80 | Professional | None | $2,290.87 | $3,162.28 | $4,073.80 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $1,148.15 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $457.09 | $457.09 | $457.09 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $338.84 | $338.84 | $338.84 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $229.09 | $229.09 | $229.09 |
Priority Health Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Priority Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,570.40 Typical High $3,311.31 | Professional | None | $1,862.09 | $2,570.40 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $4,168.69 | Facility | None | $1,288.25 | $1,659.59 | $4,168.69 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $2,511.89 | Professional | None | $1,318.26 | $1,905.46 | $2,511.89 |
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 $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | RR · Rental | $3,981.07 | $3,981.07 | $3,981.07 |
Where Michigan sits
The same service costs 2.4 times more in Wisconsin 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
$2,884
WI $3,981DC $1,660
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.