How much rates vary
Facilitymedian $550 · 10th to 90th $229 to $1,778Professionalmedian $288 · 10th to 90th $195 to $407
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 $229.09 Median $229.09 Typical High $407.38 | Facility | None | $229.09 | $229.09 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $478.63 | Professional | None | $229.09 | $229.09 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $199.53 | Professional | 52 · Reduced service | $114.82 | $114.82 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $81.28 | Professional | 53 · Discontinued | $45.71 | $45.71 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $60.26 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $40.74 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $40.74 |
BCBS Michigan Setting Facility Modifier None Typical Low $489.78 Median $1,202.26 Typical High $2,238.72 | Facility | None | $489.78 | $1,202.26 | $2,238.72 |
BCBS Michigan Setting Professional Modifier None Typical Low $380.19 Median $407.38 Typical High $407.38 | Professional | None | $380.19 | $407.38 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $416.87 | Professional | None | $199.53 | $269.15 | $416.87 |
Health Alliance Plan Setting Facility Modifier None Typical Low $229.09 Median $794.33 Typical High $851.14 | Facility | None | $229.09 | $794.33 | $851.14 |
Health Alliance Plan Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $407.38 | Professional | None | $229.09 | $323.59 | $407.38 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $114.82 | $114.82 | $114.82 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $45.71 | $45.71 | $45.71 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $34.67 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $22.91 |
Priority Health Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Priority Health Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $380.19 | Professional | None | $199.53 | $269.15 | $380.19 |
United Setting Facility Modifier None Typical Low $158.49 Median $173.78 Typical High $457.09 | Facility | None | $158.49 | $173.78 | $457.09 |
United Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $269.15 | Professional | None | $141.25 | $194.98 | $269.15 |
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 $407.38 Median $407.38 Typical High $407.38 | Professional | RR · Rental | $407.38 | $407.38 | $407.38 |
Where Michigan sits
The same service costs 2.0 times more in Wisconsin than in Colorado. 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· 17th of 51
$288
WI $407CO $200
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.