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 $741.31 Median $741.31 Typical High $1,288.25 | Facility | None | $741.31 | $741.31 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,288.25 | Professional | None | $741.31 | $741.31 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $194.98 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $128.82 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $128.82 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,548.82 Median $3,801.89 Typical High $7,244.36 | Facility | None | $1,548.82 | $3,801.89 | $7,244.36 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,230.27 | $1,288.25 | $1,288.25 |
CareSource Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $724.44 Typical High $1,445.44 | Professional | None | $524.81 | $724.44 | $1,445.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $741.31 Median $2,511.89 Typical High $2,754.23 | Facility | None | $741.31 | $2,511.89 | $2,754.23 |
Health Alliance Plan Setting Professional Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,318.26 | Professional | None | $741.31 | $1,023.29 | $1,318.26 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $112.20 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $74.13 |
Priority Health Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Priority Health Setting Professional Modifier None Typical Low $524.81 Median $724.44 Typical High $1,288.25 | Professional | None | $524.81 | $724.44 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $1,905.46 | Facility | None | $1,348.96 | $1,584.89 | $1,905.46 |
United Setting Professional Modifier None Typical Low $478.63 Median $616.60 Typical High $891.25 | Professional | None | $478.63 | $616.60 | $891.25 |
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | RR · Rental | $1,288.25 | $1,288.25 | $1,288.25 |
Where Michigan sits
The same service costs 2.4 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· 20th of 51
$933
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.