How much rates vary
Facilitymedian $1,148 · 10th to 90th $398 to $3,311Professionalmedian $550 · 10th to 90th $355 to $776
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 $426.58 Median $426.58 Typical High $758.58 | Facility | None | $426.58 | $426.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $758.58 | Professional | None | $426.58 | $426.58 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $380.19 | Professional | 52 · Reduced service | $213.80 | $213.80 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $151.36 | Professional | 53 · Discontinued | $85.11 | $85.11 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $112.20 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $75.86 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $75.86 |
BCBS Michigan Setting Facility Modifier None Typical Low $912.01 Median $2,238.72 Typical High $4,265.80 | Facility | None | $912.01 | $2,238.72 | $4,265.80 |
BCBS Michigan Setting Professional Modifier None Typical Low $724.44 Median $758.58 Typical High $758.58 | Professional | None | $724.44 | $758.58 | $758.58 |
CareSource Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $398.11 Typical High $776.25 | Professional | None | $288.40 | $398.11 | $776.25 |
Health Alliance Plan Setting Facility Modifier None Typical Low $426.58 Median $1,479.11 Typical High $1,621.81 | Facility | None | $426.58 | $1,479.11 | $1,621.81 |
Health Alliance Plan Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $776.25 | Professional | None | $426.58 | $602.56 | $776.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $87.10 | $87.10 | $87.10 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $64.57 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
Priority Health Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Priority Health Setting Professional Modifier None Typical Low $288.40 Median $398.11 Typical High $707.95 | Professional | None | $288.40 | $398.11 | $707.95 |
United Setting Facility Modifier None Typical Low $363.08 Median $724.44 Typical High $851.14 | Facility | None | $363.08 | $724.44 | $851.14 |
United Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $501.19 | Professional | None | $263.03 | $363.08 | $501.19 |
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 $758.58 Median $758.58 Typical High $758.58 | Professional | RR · Rental | $758.58 | $758.58 | $758.58 |
Where Michigan sits
The same service costs 2.8 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
$550
HI $794DE $288
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.