How much rates vary
Facilitymedian $912 · 10th to 90th $355 to $2,692Professionalmedian $468 · 10th to 90th $309 to $631
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 $354.81 Median $354.81 Typical High $616.60 | Facility | None | $354.81 | $354.81 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $616.60 | Professional | None | $354.81 | $354.81 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $309.03 | Professional | 52 · Reduced service | $177.83 | $177.83 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $125.89 | Professional | 53 · Discontinued | $70.79 | $70.79 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $93.33 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $61.66 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $61.66 |
BCBS Michigan Setting Facility Modifier None Typical Low $758.58 Median $1,862.09 Typical High $3,467.37 | Facility | None | $758.58 | $1,862.09 | $3,467.37 |
BCBS Michigan Setting Professional Modifier None Typical Low $588.84 Median $616.60 Typical High $616.60 | Professional | None | $588.84 | $616.60 | $616.60 |
CareSource Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $691.83 | Professional | None | $281.84 | $389.05 | $691.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $354.81 Median $1,230.27 Typical High $1,318.26 | Facility | None | $354.81 | $1,230.27 | $1,318.26 |
Health Alliance Plan Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $630.96 | Professional | None | $354.81 | $501.19 | $630.96 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $177.83 | $177.83 | $177.83 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $70.79 | $70.79 | $70.79 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $53.70 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $35.48 |
Priority Health Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Priority Health Setting Professional Modifier None Typical Low $389.05 Median $416.87 Typical High $691.83 | Professional | None | $389.05 | $416.87 | $691.83 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $851.14 | Facility | None | $281.84 | $331.13 | $851.14 |
United Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $467.74 | Professional | None | $257.04 | $309.03 | $467.74 |
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 $436.52 Median $436.52 Typical High $616.60 | Professional | RR · Rental | $436.52 | $436.52 | $616.60 |
Where Michigan sits
The same service costs 2.6 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· 18th of 51
$479
HI $724DE $282
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.