How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,950 to $12,589Professionalmedian $2,089 · 10th to 90th $1,413 to $2,951
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 $1,659.59 Median $1,659.59 Typical High $2,884.03 | Facility | None | $1,659.59 | $1,659.59 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,884.03 | Professional | None | $1,659.59 | $1,659.59 | $2,884.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $831.76 Median $831.76 Typical High $1,445.44 | Professional | 52 · Reduced service | $831.76 | $831.76 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $575.44 | Professional | 53 · Discontinued | $331.13 | $331.13 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $436.52 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $288.40 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $288.40 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,548.13 Median $8,511.38 Typical High $16,218.10 | Facility | None | $3,548.13 | $8,511.38 | $16,218.10 |
BCBS Michigan Setting Professional Modifier None Typical Low $2,754.23 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,754.23 | $2,884.03 | $2,884.03 |
CareSource Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $3,388.44 | Professional | None | $1,513.56 | $2,041.74 | $3,388.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,659.59 Median $5,623.41 Typical High $6,165.95 | Facility | None | $1,659.59 | $5,623.41 | $6,165.95 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,659.59 Median $2,290.87 Typical High $2,951.21 | Professional | None | $1,659.59 | $2,290.87 | $2,951.21 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $831.76 | $831.76 | $831.76 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $331.13 | $331.13 | $331.13 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $251.19 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $165.96 |
Priority Health Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Priority Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $3,162.28 | Professional | None | $1,513.56 | $2,041.74 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $3,890.45 | Facility | None | $1,905.46 | $1,949.84 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,174.90 | $1,412.54 | $2,137.96 |
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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | RR · Rental | $2,884.03 | $2,884.03 | $2,884.03 |
Where Michigan sits
The same service costs 3.1 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· 19th of 51
$2,138
HI $4,677PA $1,514
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.