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 $2,137.96 Median $2,137.96 Typical High $3,801.89 | Facility | None | $2,137.96 | $2,137.96 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,801.89 | Professional | None | $2,137.96 | $2,137.96 | $3,801.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $562.34 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $380.19 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $380.19 |
BCBS Michigan Setting Facility Modifier None Typical Low $4,570.88 Median $11,220.18 Typical High $20,892.96 | Facility | None | $4,570.88 | $11,220.18 | $20,892.96 |
BCBS Michigan Setting Professional Modifier None Typical Low $3,548.13 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,548.13 | $3,801.89 | $3,801.89 |
CareSource Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,691.53 Typical High $3,801.89 | Professional | None | $1,949.84 | $2,691.53 | $3,801.89 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,137.96 Median $7,413.10 Typical High $7,943.28 | Facility | None | $2,137.96 | $7,413.10 | $7,943.28 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2,137.96 Median $3,019.95 Typical High $3,890.45 | Professional | None | $2,137.96 | $3,019.95 | $3,890.45 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $323.59 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $213.80 |
Priority Health Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Priority Health Setting Professional Modifier None Typical Low $2,511.89 Median $2,691.53 Typical High $3,801.89 | Professional | None | $2,511.89 | $2,691.53 | $3,801.89 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $3,890.45 Typical High $4,570.88 | Facility | None | $1,819.70 | $3,890.45 | $4,570.88 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $2,630.27 | Professional | None | $1,412.54 | $1,819.70 | $2,630.27 |
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 $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | RR · Rental | $3,801.89 | $3,801.89 | $3,801.89 |
Where Michigan sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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
$2,754
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.