How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,318 to $8,913Professionalmedian $1,479 · 10th to 90th $977 to $2,089
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 $1,148.15 Median $1,148.15 Typical High $2,041.74 | Facility | None | $1,148.15 | $1,148.15 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $2,041.74 | Professional | None | $1,148.15 | $1,148.15 | $2,041.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $575.44 Typical High $1,023.29 | Professional | 52 · Reduced service | $575.44 | $575.44 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $407.38 | Professional | 53 · Discontinued | $234.42 | $234.42 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $309.03 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $204.17 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $204.17 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,454.71 Median $6,025.60 Typical High $11,481.54 | Facility | None | $2,454.71 | $6,025.60 | $11,481.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,949.84 | $2,041.74 | $2,041.74 |
CareSource Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,318.26 Typical High $2,041.74 | Professional | None | $954.99 | $1,318.26 | $2,041.74 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,174.90 Median $3,981.07 Typical High $4,365.16 | Facility | None | $1,174.90 | $3,981.07 | $4,365.16 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $2,089.30 | Professional | None | $1,174.90 | $1,621.81 | $2,089.30 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $575.44 | $575.44 | $575.44 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $234.42 | $234.42 | $234.42 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $173.78 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $117.49 |
Priority Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Priority Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $2,041.74 | Professional | None | $1,318.26 | $1,348.96 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,089.30 Typical High $2,454.71 | Facility | None | $1,000.00 | $2,089.30 | $2,454.71 |
United Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,412.54 | Professional | None | $758.58 | $977.24 | $1,412.54 |
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | RR · Rental | $2,041.74 | $2,041.74 | $2,041.74 |
Where Michigan sits
The same service costs 3.0 times more in Kansas 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· 19th of 51
$1,479
KS $2,818DE $955
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.