How much rates vary
Facilitymedian $1,778 · 10th to 90th $776 to $5,888Professionalmedian $977 · 10th to 90th $646 to $1,380
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 $776.25 Median $776.25 Typical High $1,348.96 | Facility | None | $776.25 | $776.25 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,348.96 | Professional | None | $776.25 | $776.25 | $1,348.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $676.08 | Professional | 52 · Reduced service | $389.05 | $389.05 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $269.15 | Professional | 53 · Discontinued | $154.88 | $154.88 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $204.17 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $134.90 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $134.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,621.81 Median $3,981.07 Typical High $7,585.78 | Facility | None | $1,621.81 | $3,981.07 | $7,585.78 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,288.25 | $1,348.96 | $1,348.96 |
CareSource Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $1,348.96 | Professional | None | $645.65 | $870.96 | $1,348.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $776.25 Median $2,630.27 Typical High $2,884.03 | Facility | None | $776.25 | $2,630.27 | $2,884.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $776.25 Median $1,071.52 Typical High $1,380.38 | Professional | None | $776.25 | $1,071.52 | $1,380.38 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Priority Health Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Priority Health Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $1,202.26 | Professional | None | $645.65 | $870.96 | $1,202.26 |
United Setting Facility Modifier None Typical Low $616.60 Median $645.65 Typical High $1,479.11 | Facility | None | $616.60 | $645.65 | $1,479.11 |
United Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $851.14 | Professional | None | $446.68 | $645.65 | $851.14 |
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | RR · Rental | $1,348.96 | $1,348.96 | $1,348.96 |
Where Michigan sits
The same service costs 2.3 times more in Hawaii than in Pennsylvania. 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· 14th of 51
$977
HI $1,413PA $617
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.