How much rates vary
Facilitymedian $7,244 · 10th to 90th $3,388 to $20,893Professionalmedian $3,388 · 10th to 90th $2,239 to $4,786
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 $2,691.53 Median $2,691.53 Typical High $4,677.35 | Facility | None | $2,691.53 | $2,691.53 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $4,677.35 | Professional | None | $2,691.53 | $2,691.53 | $4,677.35 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,348.96 Median $1,348.96 Typical High $2,344.23 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $933.25 | Professional | 53 · Discontinued | $537.03 | $537.03 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $398.11 Typical High $707.95 | Professional | 55 · Aftercare only | $398.11 | $398.11 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $269.15 Typical High $467.74 | Professional | 56 · Pre-op care only | $269.15 | $269.15 | $467.74 |
BCBS Michigan Setting Facility Modifier None Typical Low $5,623.41 Median $13,803.84 Typical High $26,302.68 | Facility | None | $5,623.41 | $13,803.84 | $26,302.68 |
BCBS Michigan Setting Professional Modifier None Typical Low $4,466.84 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,466.84 | $4,677.35 | $4,677.35 |
CareSource Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $3,388.44 Typical High $3,715.35 | Professional | None | $2,454.71 | $3,388.44 | $3,715.35 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,691.53 Median $9,120.11 Typical High $10,000.00 | Facility | None | $2,691.53 | $9,120.11 | $10,000.00 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2,691.53 Median $3,715.35 Typical High $4,786.30 | Professional | None | $2,691.53 | $3,715.35 | $4,786.30 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $1,348.96 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $537.03 | $537.03 | $537.03 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $407.38 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $269.15 | $269.15 | $269.15 |
Priority Health Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Priority Health Setting Professional Modifier None Typical Low $2,454.71 Median $3,388.44 Typical High $3,890.45 | Professional | None | $2,454.71 | $3,388.44 | $3,890.45 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $4,677.35 Typical High $5,495.41 | Facility | None | $2,398.83 | $4,677.35 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $3,162.28 | Professional | None | $1,698.24 | $2,238.72 | $3,162.28 |
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 $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | RR · Rental | $4,677.35 | $4,677.35 | $4,677.35 |
Where Michigan sits
The same service costs 2.1 times more in Montana than in South Carolina. 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· 16th of 51
$3,548
MT $4,898SC $2,344
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.