How much rates vary
Facilitymedian $646 · 10th to 90th $269 to $2,042Professionalmedian $339 · 10th to 90th $224 to $479
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 $269.15 Median $269.15 Typical High $478.63 | Facility | None | $269.15 | $269.15 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $478.63 | Professional | None | $269.15 | $269.15 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $234.42 | Professional | 52 · Reduced service | $134.90 | $134.90 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $95.50 | Professional | 53 · Discontinued | $53.70 | $53.70 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $70.79 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $47.86 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $47.86 |
BCBS Michigan Setting Facility Modifier None Typical Low $575.44 Median $1,412.54 Typical High $2,630.27 | Facility | None | $575.44 | $1,412.54 | $2,630.27 |
BCBS Michigan Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $478.63 | Professional | None | $446.68 | $478.63 | $478.63 |
CareSource Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $489.78 | Professional | None | $223.87 | $309.03 | $489.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $269.15 Median $933.25 Typical High $1,000.00 | Facility | None | $269.15 | $933.25 | $1,000.00 |
Health Alliance Plan Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $478.63 | Professional | None | $269.15 | $380.19 | $478.63 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $40.74 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $26.92 |
Priority Health Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Priority Health Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $446.68 | Professional | None | $223.87 | $309.03 | $446.68 |
United Setting Facility Modifier None Typical Low $218.78 Median $245.47 Typical High $537.03 | Facility | None | $218.78 | $245.47 | $537.03 |
United Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $316.23 | Professional | None | $165.96 | $223.87 | $316.23 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | RR · Rental | $478.63 | $478.63 | $478.63 |
Where Michigan sits
The same service costs 2.5 times more in Hawaii 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· 16th of 51
$339
HI $525PA $214
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.