How much rates vary
Facilitymedian $1,072 · 10th to 90th $417 to $3,162Professionalmedian $525 · 10th to 90th $347 to $741
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 $416.87 Median $416.87 Typical High $724.44 | Facility | None | $416.87 | $416.87 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $724.44 | Professional | None | $416.87 | $416.87 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $204.17 Typical High $363.08 | Professional | 52 · Reduced service | $204.17 | $204.17 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $144.54 | Professional | 53 · Discontinued | $83.18 | $83.18 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $109.65 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $72.44 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $72.44 |
BCBS Michigan Setting Facility Modifier None Typical Low $870.96 Median $2,137.96 Typical High $4,073.80 | Facility | None | $870.96 | $2,137.96 | $4,073.80 |
BCBS Michigan Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $724.44 | Professional | None | $691.83 | $724.44 | $724.44 |
CareSource Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $501.19 | Professional | None | $338.84 | $467.74 | $501.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $416.87 Median $1,412.54 Typical High $1,548.82 | Facility | None | $416.87 | $1,412.54 | $1,548.82 |
Health Alliance Plan Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $741.31 | Professional | None | $416.87 | $575.44 | $741.31 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $83.18 | $83.18 | $83.18 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $61.66 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $41.69 |
Priority Health Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Priority Health Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $602.56 | Professional | None | $338.84 | $467.74 | $602.56 |
United Setting Facility Modifier None Typical Low $380.19 Median $416.87 Typical High $851.14 | Facility | None | $380.19 | $416.87 | $851.14 |
United Setting Professional Modifier None Typical Low $263.03 Median $346.74 Typical High $478.63 | Professional | None | $263.03 | $346.74 | $478.63 |
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 $724.44 Median $724.44 Typical High $724.44 | Professional | RR · Rental | $724.44 | $724.44 | $724.44 |
Where Michigan sits
The same service costs 2.9 times more in Hawaii than in Florida. 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· 15th of 51
$550
HI $977FL $339
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.