How much rates vary
Facilitymedian $537 · 10th to 90th $209 to $1,585Professionalmedian $275 · 10th to 90th $182 to $372
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 $208.93 Median $208.93 Typical High $363.08 | Facility | None | $208.93 | $208.93 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $363.08 | Professional | None | $208.93 | $208.93 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $181.97 | Professional | 52 · Reduced service | $104.71 | $104.71 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $72.44 | Professional | 53 · Discontinued | $41.69 | $41.69 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $54.95 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $36.31 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $36.31 |
BCBS Michigan Setting Facility Modifier None Typical Low $436.52 Median $1,071.52 Typical High $2,041.74 | Facility | None | $436.52 | $1,071.52 | $2,041.74 |
BCBS Michigan Setting Professional Modifier None Typical Low $346.74 Median $363.08 Typical High $363.08 | Professional | None | $346.74 | $363.08 | $363.08 |
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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $229.09 Typical High $426.58 | Professional | None | $165.96 | $229.09 | $426.58 |
Health Alliance Plan Setting Facility Modifier None Typical Low $208.93 Median $707.95 Typical High $776.25 | Facility | None | $208.93 | $707.95 | $776.25 |
Health Alliance Plan Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $371.54 | Professional | None | $208.93 | $288.40 | $371.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $31.62 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $20.89 |
Priority Health Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Priority Health Setting Professional Modifier None Typical Low $165.96 Median $229.09 Typical High $407.38 | Professional | None | $165.96 | $229.09 | $407.38 |
United Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $501.19 | Facility | None | $151.36 | $190.55 | $501.19 |
United Setting Professional Modifier None Typical Low $151.36 Median $181.97 Typical High $275.42 | Professional | None | $151.36 | $181.97 | $275.42 |
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 $363.08 Median $363.08 Typical High $363.08 | Professional | RR · Rental | $363.08 | $363.08 | $363.08 |
Where Michigan sits
The same service costs 2.7 times more in Montana 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
$275
MT $457DE $170
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.