How much rates vary
Facilitymedian $2,692 · 10th to 90th $891 to $6,918Professionalmedian $1,148 · 10th to 90th $759 to $1,622
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 $912.01 Median $912.01 Typical High $1,584.89 | Facility | None | $912.01 | $912.01 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,584.89 | Professional | None | $912.01 | $912.01 | $1,584.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $794.33 | Professional | 52 · Reduced service | $457.09 | $457.09 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $316.23 | Professional | 53 · Discontinued | $181.97 | $181.97 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $239.88 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $158.49 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $158.49 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,905.46 Median $4,677.35 Typical High $8,912.51 | Facility | None | $1,905.46 | $4,677.35 | $8,912.51 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,513.56 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,513.56 | $1,584.89 | $1,584.89 |
CareSource Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $1,737.80 | Professional | None | $645.65 | $891.25 | $1,737.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $912.01 Median $3,090.30 Typical High $3,388.44 | Facility | None | $912.01 | $3,090.30 | $3,388.44 |
Health Alliance Plan Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,621.81 | Professional | None | $912.01 | $1,258.93 | $1,621.81 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Priority Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Priority Health Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $1,584.89 | Professional | None | $645.65 | $891.25 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,949.84 Typical High $2,290.87 | Facility | None | $1,621.81 | $1,949.84 | $2,290.87 |
United Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $1,096.48 | Professional | None | $588.84 | $758.58 | $1,096.48 |
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | RR · Rental | $1,584.89 | $1,584.89 | $1,584.89 |
Where Michigan sits
The same service costs 2.6 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· 18th of 51
$1,148
MT $1,660DE $646
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.