How much rates vary
Facilitymedian $158 · 10th to 90th $60 to $490Professionalmedian $81 · 10th to 90th $52 to $115
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 $64.57 Median $64.57 Typical High $112.20 | Facility | None | $64.57 | $64.57 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $112.20 | Professional | None | $64.57 | $64.57 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $56.23 | Professional | 52 · Reduced service | $32.36 | $32.36 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $22.39 | Professional | 53 · Discontinued | $12.88 | $12.88 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $16.98 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $11.22 | Professional | 56 · Pre-op care only | $6.46 | $6.46 | $11.22 |
BCBS Michigan Setting Facility Modifier None Typical Low $134.90 Median $331.13 Typical High $630.96 | Facility | None | $134.90 | $331.13 | $630.96 |
BCBS Michigan Setting Professional Modifier None Typical Low $107.15 Median $112.20 Typical High $112.20 | Professional | None | $107.15 | $112.20 | $112.20 |
CareSource Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $120.23 | Professional | None | $43.65 | $60.26 | $120.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $64.57 Median $218.78 Typical High $239.88 | Facility | None | $64.57 | $218.78 | $239.88 |
Health Alliance Plan Setting Professional Modifier None Typical Low $64.57 Median $89.13 Typical High $114.82 | Professional | None | $64.57 | $89.13 | $114.82 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $9.55 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $6.46 | $6.46 | $6.46 |
Priority Health Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Priority Health Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $107.15 | Professional | None | $43.65 | $60.26 | $107.15 |
United Setting Facility Modifier None Typical Low $64.57 Median $67.61 Typical High $131.83 | Facility | None | $64.57 | $67.61 | $131.83 |
United Setting Professional Modifier None Typical Low $39.81 Median $53.70 Typical High $74.13 | Professional | None | $39.81 | $53.70 | $74.13 |
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 $112.20 Median $112.20 Typical High $112.20 | Professional | RR · Rental | $112.20 | $112.20 | $112.20 |
Where Michigan sits
The same service costs 3.6 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· 16th of 51
$81.28
HI $158DE $43.65
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.