How much rates vary
Facilitymedian $1,000 · 10th to 90th $437 to $3,388Professionalmedian $562 · 10th to 90th $363 to $794
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 $436.52 Median $436.52 Typical High $776.25 | Facility | None | $436.52 | $436.52 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $776.25 | Professional | None | $436.52 | $436.52 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $218.78 Typical High $389.05 | Professional | 52 · Reduced service | $218.78 | $218.78 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $154.88 | Professional | 53 · Discontinued | $87.10 | $87.10 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $114.82 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $77.62 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $77.62 |
BCBS Michigan Setting Facility Modifier None Typical Low $933.25 Median $2,290.87 Typical High $4,365.16 | Facility | None | $933.25 | $2,290.87 | $4,365.16 |
BCBS Michigan Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $776.25 | Professional | None | $741.31 | $776.25 | $776.25 |
CareSource Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $724.44 | Professional | None | $363.08 | $501.19 | $724.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $436.52 Median $1,513.56 Typical High $1,659.59 | Facility | None | $436.52 | $1,513.56 | $1,659.59 |
Health Alliance Plan Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $794.33 | Professional | None | $436.52 | $616.60 | $794.33 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $218.78 | $218.78 | $218.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $66.07 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $43.65 |
Priority Health Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Priority Health Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $645.65 | Professional | None | $363.08 | $501.19 | $645.65 |
United Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $794.33 | Facility | None | $229.09 | $288.40 | $794.33 |
United Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $467.74 | Professional | None | $257.04 | $371.54 | $467.74 |
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 $776.25 Median $776.25 Typical High $776.25 | Professional | RR · Rental | $776.25 | $776.25 | $776.25 |
Where Michigan sits
The same service costs 2.3 times more in Wisconsin than in Florida. 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· 11th of 51
$562
WI $776FL $339
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.