How much rates vary
Facilitymedian $6,310 · 10th to 90th $2,138 to $17,783Professionalmedian $2,951 · 10th to 90th $1,950 to $4,169
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 $2,344.23 Median $2,344.23 Typical High $4,073.80 | Facility | None | $2,344.23 | $2,344.23 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $4,073.80 | Professional | None | $2,344.23 | $2,344.23 | $4,073.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,174.90 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $831.76 | Professional | 53 · Discontinued | $467.74 | $467.74 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $354.81 Typical High $616.60 | Professional | 55 · Aftercare only | $354.81 | $354.81 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $234.42 Typical High $407.38 | Professional | 56 · Pre-op care only | $234.42 | $234.42 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None | $4,168.69 | $4,168.69 | $4,168.69 |
BCBS Michigan Setting Facility Modifier None Typical Low $5,011.87 Median $12,302.69 Typical High $22,908.68 | Facility | None | $5,011.87 | $12,302.69 | $22,908.68 |
BCBS Michigan Setting Professional Modifier None Typical Low $3,890.45 Median $4,073.80 Typical High $4,073.80 | Professional | None | $3,890.45 | $4,073.80 | $4,073.80 |
CareSource Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $4,265.80 | Professional | None | $1,584.89 | $2,137.96 | $4,265.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,344.23 Median $8,128.31 Typical High $8,709.64 | Facility | None | $2,344.23 | $8,128.31 | $8,709.64 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2,344.23 Median $3,311.31 Typical High $4,168.69 | Professional | None | $2,344.23 | $3,311.31 | $4,168.69 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $1,174.90 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 53 · Discontinued | $467.74 | $467.74 | $467.74 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $354.81 | $354.81 | $354.81 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $234.42 | $234.42 | $234.42 |
Priority Health Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Priority Health Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $3,890.45 | Professional | None | $1,584.89 | $2,137.96 | $3,890.45 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $3,981.07 Typical High $4,677.35 | Facility | None | $1,949.84 | $3,981.07 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,949.84 Typical High $2,754.23 | Professional | None | $1,445.44 | $1,949.84 | $2,754.23 |
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 $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | RR · Rental | $4,073.80 | $4,073.80 | $4,073.80 |
Where Michigan sits
The same service costs 2.6 times more in Wisconsin 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
$3,020
WI $4,074DE $1,585
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.