How much rates vary
Facilitymedian $1,000 · 10th to 90th $447 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 $446.68 Median $446.68 Typical High $776.25 | Facility | None | $446.68 | $446.68 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $776.25 | Professional | None | $446.68 | $446.68 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $223.87 Typical High $389.05 | Professional | 52 · Reduced service | $223.87 | $223.87 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $154.88 | Professional | 53 · Discontinued | $89.13 | $89.13 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $117.49 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $77.62 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
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 $371.54 Median $501.19 Typical High $724.44 | Professional | None | $371.54 | $501.19 | $724.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $446.68 Median $1,513.56 Typical High $1,659.59 | Facility | None | $446.68 | $1,513.56 | $1,659.59 |
Health Alliance Plan Setting Professional Modifier None Typical Low $446.68 Median $616.60 Typical High $794.33 | Professional | None | $446.68 | $616.60 | $794.33 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $223.87 | $223.87 | $223.87 |
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 $44.67 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $44.67 |
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 $371.54 Median $501.19 Typical High $660.69 | Professional | None | $371.54 | $501.19 | $660.69 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $794.33 | Facility | None | $389.05 | $389.05 | $794.33 |
United Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $478.63 | Professional | None | $257.04 | $371.54 | $478.63 |
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 3.0 times more in Hawaii 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· 12th of 51
$562
HI $933DC $316
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.