How much rates vary
Facilitymedian $759 · 10th to 90th $363 to $2,239Professionalmedian $372 · 10th to 90th $257 to $525
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 $295.12 Median $295.12 Typical High $512.86 | Facility | None | $295.12 | $295.12 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $512.86 | Professional | None | $295.12 | $295.12 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $257.04 | Professional | 52 · Reduced service | $147.91 | $147.91 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $102.33 | Professional | 53 · Discontinued | $58.88 | $58.88 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $77.62 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $51.29 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $51.29 |
BCBS Michigan Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $2,884.03 | Facility | None | $630.96 | $1,513.56 | $2,884.03 |
BCBS Michigan Setting Professional Modifier None Typical Low $489.78 Median $512.86 Typical High $512.86 | Professional | None | $489.78 | $512.86 | $512.86 |
CareSource Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $602.56 | Professional | None | $263.03 | $363.08 | $602.56 |
Health Alliance Plan Setting Facility Modifier None Typical Low $295.12 Median $1,000.00 Typical High $1,096.48 | Facility | None | $295.12 | $1,000.00 | $1,096.48 |
Health Alliance Plan Setting Professional Modifier None Typical Low $295.12 Median $407.38 Typical High $524.81 | Professional | None | $295.12 | $407.38 | $524.81 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $147.91 | $147.91 | $147.91 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $58.88 | $58.88 | $58.88 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $44.67 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $29.51 |
Priority Health Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Priority Health Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $575.44 | Professional | None | $263.03 | $363.08 | $575.44 |
United Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $707.95 | Facility | None | $346.74 | $416.87 | $707.95 |
United Setting Professional Modifier None Typical Low $213.80 Median $257.04 Typical High $389.05 | Professional | None | $213.80 | $257.04 | $389.05 |
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 $512.86 Median $512.86 Typical High $512.86 | Professional | RR · Rental | $512.86 | $512.86 | $512.86 |
Where Michigan sits
The same service costs 3.7 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· 20th of 51
$389
HI $977DE $263
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.