How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,698 to $12,882Professionalmedian $2,138 · 10th to 90th $1,413 to $3,020
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 $1,698.24 Median $1,698.24 Typical High $2,951.21 | Facility | None | $1,698.24 | $1,698.24 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,951.21 | Professional | None | $1,698.24 | $1,698.24 | $2,951.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $851.14 Typical High $1,479.11 | Professional | 52 · Reduced service | $851.14 | $851.14 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $588.84 | Professional | 53 · Discontinued | $338.84 | $338.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $446.68 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $295.12 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $295.12 |
Ambetter Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,548.13 Median $8,709.64 Typical High $16,595.87 | Facility | None | $3,548.13 | $8,709.64 | $16,595.87 |
BCBS Michigan Setting Professional Modifier None Typical Low $2,818.38 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,818.38 | $2,951.21 | $2,951.21 |
CareSource Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,318.26 | $1,819.70 | $2,570.40 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,698.24 Median $5,754.40 Typical High $6,309.57 | Facility | None | $1,698.24 | $5,754.40 | $6,309.57 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,698.24 Median $2,344.23 Typical High $3,019.95 | Professional | None | $1,698.24 | $2,344.23 | $3,019.95 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $338.84 | $338.84 | $338.84 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $251.19 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $169.82 |
Priority Health Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Priority Health Setting Professional Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $2,570.40 | Professional | None | $1,819.70 | $1,995.26 | $2,570.40 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,148.15 Typical High $3,090.30 | Facility | None | $870.96 | $1,148.15 | $3,090.30 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $1,862.09 | Professional | None | $977.24 | $1,412.54 | $1,862.09 |
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 $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | RR · Rental | $2,951.21 | $2,951.21 | $2,951.21 |
Where Michigan sits
The same service costs 2.3 times more in Wisconsin than in Pennsylvania. 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· 13th of 51
$2,188
WI $2,951PA $1,288
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.