How much rates vary
Facilitymedian $234 · 10th to 90th $100 to $692Professionalmedian $115 · 10th to 90th $79 to $162
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 $91.20 Median $91.20 Typical High $158.49 | Facility | None | $91.20 | $91.20 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $158.49 | Professional | None | $91.20 | $91.20 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $79.43 | Professional | 52 · Reduced service | $45.71 | $45.71 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $31.62 | Professional | 53 · Discontinued | $18.20 | $18.20 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $23.99 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $15.85 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $15.85 |
BCBS Michigan Setting Facility Modifier None Typical Low $190.55 Median $467.74 Typical High $891.25 | Facility | None | $190.55 | $467.74 | $891.25 |
BCBS Michigan Setting Professional Modifier None Typical Low $151.36 Median $158.49 Typical High $158.49 | Professional | None | $151.36 | $158.49 | $158.49 |
CareSource Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $186.21 | Professional | None | $72.44 | $100.00 | $186.21 |
Health Alliance Plan Setting Facility Modifier None Typical Low $91.20 Median $309.03 Typical High $338.84 | Facility | None | $91.20 | $309.03 | $338.84 |
Health Alliance Plan Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $162.18 | Professional | None | $91.20 | $125.89 | $162.18 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $13.80 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $9.12 |
Priority Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Priority Health Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $177.83 | Professional | None | $72.44 | $100.00 | $177.83 |
United Setting Facility Modifier None Typical Low $102.33 Median $107.15 Typical High $218.78 | Facility | None | $102.33 | $107.15 | $218.78 |
United Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $120.23 | Professional | None | $66.07 | $79.43 | $120.23 |
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 $158.49 Median $158.49 Typical High $158.49 | Professional | RR · Rental | $158.49 | $158.49 | $158.49 |
Where Michigan sits
The same service costs 4.1 times more in Hawaii 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· 22nd of 51
$120
HI $295DE $72.44
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.