How much rates vary
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 $338.84 Median $338.84 Typical High $602.56 | Facility | None | $338.84 | $338.84 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $602.56 | Professional | None | $338.84 | $338.84 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $89.13 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $60.26 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $60.26 |
Ambetter Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
BCBS Michigan Setting Facility Modifier None Typical Low $724.44 Median $1,778.28 Typical High $3,311.31 | Facility | None | $724.44 | $1,778.28 | $3,311.31 |
BCBS Michigan Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $602.56 | Professional | None | $562.34 | $602.56 | $602.56 |
CareSource Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $691.83 | Professional | None | $275.42 | $380.19 | $691.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $338.84 Median $1,174.90 Typical High $1,258.93 | Facility | None | $338.84 | $1,174.90 | $1,258.93 |
Health Alliance Plan Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $602.56 | Professional | None | $338.84 | $478.63 | $602.56 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Priority Health Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Priority Health Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $660.69 | Professional | None | $275.42 | $380.19 | $660.69 |
United Setting Facility Modifier None Typical Low $691.83 Median $812.83 Typical High $977.24 | Facility | None | $691.83 | $812.83 | $977.24 |
United Setting Professional Modifier None Typical Low $245.47 Median $295.12 Typical High $446.68 | Professional | None | $245.47 | $295.12 | $446.68 |
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 $602.56 Median $602.56 Typical High $602.56 | Professional | RR · Rental | $602.56 | $602.56 | $602.56 |
Where Michigan sits
The same service costs 3.7 times more in Alaska 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· 23rd of 51
$457
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.