How much rates vary
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 $2,754.23 Median $2,754.23 Typical High $4,786.30 | Facility | None | $2,754.23 | $2,754.23 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $4,786.30 | Professional | None | $2,754.23 | $2,754.23 | $4,786.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $416.87 Typical High $724.44 | Professional | 55 · Aftercare only | $416.87 | $416.87 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $478.63 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $478.63 |
BCBS Michigan Setting Facility Modifier None Typical Low $5,888.44 Median $14,125.38 Typical High $26,915.35 | Facility | None | $5,888.44 | $14,125.38 | $26,915.35 |
BCBS Michigan Setting Professional Modifier None Typical Low $4,570.88 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,570.88 | $4,786.30 | $4,786.30 |
CareSource Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $4,786.30 | Professional | None | $2,089.30 | $2,884.03 | $4,786.30 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,754.23 Median $9,332.54 Typical High $10,232.93 | Facility | None | $2,754.23 | $9,332.54 | $10,232.93 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2,754.23 Median $3,890.45 Typical High $4,897.79 | Professional | None | $2,754.23 | $3,890.45 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $416.87 | $416.87 | $416.87 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $275.42 |
Priority Health Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Priority Health Setting Professional Modifier None Typical Low $2,884.03 Median $3,235.94 Typical High $4,786.30 | Professional | None | $2,884.03 | $3,235.94 | $4,786.30 |
United Setting Facility Modifier None Typical Low $5,011.87 Median $5,888.44 Typical High $7,079.46 | Facility | None | $5,011.87 | $5,888.44 | $7,079.46 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,290.87 Typical High $3,311.31 | Professional | None | $1,778.28 | $2,290.87 | $3,311.31 |
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 $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | RR · Rental | $4,786.30 | $4,786.30 | $4,786.30 |
Where Michigan sits
The same service costs 2.4 times more in Montana 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· 19th of 51
$3,467
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.