How much rates vary
Facilitymedian $1,995 · 10th to 90th $871 to $5,888Professionalmedian $977 · 10th to 90th $676 to $1,380
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 $758.58 Median $758.58 Typical High $1,348.96 | Facility | None | $758.58 | $758.58 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,348.96 | Professional | None | $758.58 | $758.58 | $1,348.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $676.08 | Professional | 52 · Reduced service | $380.19 | $380.19 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $269.15 | Professional | 53 · Discontinued | $154.88 | $154.88 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $204.17 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $134.90 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $134.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,621.81 Median $3,981.07 Typical High $7,585.78 | Facility | None | $1,621.81 | $3,981.07 | $7,585.78 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,288.25 | $1,348.96 | $1,348.96 |
CareSource Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $870.96 Typical High $1,548.82 | Professional | None | $630.96 | $870.96 | $1,548.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $776.25 Median $2,630.27 Typical High $2,884.03 | Facility | None | $776.25 | $2,630.27 | $2,884.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $776.25 Median $1,071.52 Typical High $1,380.38 | Professional | None | $776.25 | $1,071.52 | $1,380.38 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $380.19 | $380.19 | $380.19 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Priority Health Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Priority Health Setting Professional Modifier None Typical Low $630.96 Median $870.96 Typical High $1,513.56 | Professional | None | $630.96 | $870.96 | $1,513.56 |
United Setting Facility Modifier None Typical Low $891.25 Median $1,513.56 Typical High $1,819.70 | Facility | None | $891.25 | $1,513.56 | $1,819.70 |
United Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $1,000.00 | Professional | None | $562.34 | $676.08 | $1,000.00 |
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | RR · Rental | $1,348.96 | $1,348.96 | $1,348.96 |
Where Michigan sits
The same service costs 4.0 times more in Hawaii 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
$1,000
HI $2,512DE $631
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.