How much rates vary
Facilitymedian $1,148 · 10th to 90th $447 to $3,090Professionalmedian $513 · 10th to 90th $355 to $724
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 $398.11 Median $398.11 Typical High $707.95 | Facility | None | $398.11 | $398.11 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $707.95 | Professional | None | $398.11 | $398.11 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $354.81 | Professional | 52 · Reduced service | $199.53 | $199.53 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $141.25 | Professional | 53 · Discontinued | $81.28 | $81.28 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $104.71 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $70.79 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $70.79 |
BCBS Michigan Setting Facility Modifier None Typical Low $851.14 Median $2,089.30 Typical High $3,981.07 | Facility | None | $851.14 | $2,089.30 | $3,981.07 |
BCBS Michigan Setting Professional Modifier None Typical Low $676.08 Median $707.95 Typical High $707.95 | Professional | None | $676.08 | $707.95 | $707.95 |
CareSource Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $812.83 | Professional | None | $331.13 | $446.68 | $812.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $407.38 Median $1,380.38 Typical High $1,513.56 | Facility | None | $407.38 | $1,380.38 | $1,513.56 |
Health Alliance Plan Setting Professional Modifier None Typical Low $407.38 Median $562.34 Typical High $724.44 | Professional | None | $407.38 | $562.34 | $724.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $40.74 |
Priority Health Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Priority Health Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $794.33 | Professional | None | $331.13 | $446.68 | $794.33 |
United Setting Facility Modifier None Typical Low $467.74 Median $812.83 Typical High $954.99 | Facility | None | $467.74 | $812.83 | $954.99 |
United Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $524.81 | Professional | None | $295.12 | $354.81 | $524.81 |
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 $707.95 Median $707.95 Typical High $707.95 | Professional | RR · Rental | $707.95 | $707.95 | $707.95 |
Where Michigan sits
The same service costs 2.8 times more in Iowa 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
$525
IA $933DE $331
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.