How much rates vary
Facilitymedian $6,918 · 10th to 90th $2,512 to $19,953Professionalmedian $3,236 · 10th to 90th $2,138 to $4,571
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 $2,570.40 Median $2,570.40 Typical High $4,466.84 | Facility | None | $2,570.40 | $2,570.40 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $4,466.84 | Professional | None | $2,570.40 | $2,570.40 | $4,466.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,288.25 Median $1,288.25 Typical High $2,238.72 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $891.25 | Professional | 53 · Discontinued | $512.86 | $512.86 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $676.08 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $676.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $446.68 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $446.68 |
BCBS Michigan Setting Facility Modifier None Typical Low $5,370.32 Median $13,182.57 Typical High $25,118.86 | Facility | None | $5,370.32 | $13,182.57 | $25,118.86 |
BCBS Michigan Setting Professional Modifier None Typical Low $4,265.80 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,265.80 | $4,466.84 | $4,466.84 |
CareSource Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $4,466.84 | Professional | None | $1,819.70 | $2,511.89 | $4,466.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,570.40 Median $8,709.64 Typical High $9,549.93 | Facility | None | $2,570.40 | $8,709.64 | $9,549.93 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2,570.40 Median $3,548.13 Typical High $4,570.88 | Professional | None | $2,570.40 | $3,548.13 | $4,570.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,288.25 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $380.19 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $257.04 |
Priority Health Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Priority Health Setting Professional Modifier None Typical Low $2,511.89 Median $3,019.95 Typical High $4,466.84 | Professional | None | $2,511.89 | $3,019.95 | $4,466.84 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $4,677.35 Typical High $5,495.41 | Facility | None | $2,187.76 | $4,677.35 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,137.96 Typical High $3,090.30 | Professional | None | $1,659.59 | $2,137.96 | $3,090.30 |
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 $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | RR · Rental | $4,466.84 | $4,466.84 | $4,466.84 |
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· 19th of 51
$3,236
HI $4,786DE $1,820
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.