How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,349 to $10,715Professionalmedian $1,738 · 10th to 90th $1,148 to $2,455
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 $1,380.38 Median $1,380.38 Typical High $2,398.83 | Facility | None | $1,380.38 | $1,380.38 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,398.83 | Professional | None | $1,380.38 | $1,380.38 | $2,398.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $1,202.26 | Professional | 52 · Reduced service | $691.83 | $691.83 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $478.63 | Professional | 53 · Discontinued | $275.42 | $275.42 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $363.08 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $239.88 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $239.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,884.03 Median $7,079.46 Typical High $13,489.63 | Facility | None | $2,884.03 | $7,079.46 | $13,489.63 |
BCBS Michigan Setting Professional Modifier None Typical Low $2,290.87 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,290.87 | $2,398.83 | $2,398.83 |
CareSource Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,348.96 Typical High $2,691.53 | Professional | None | $977.24 | $1,348.96 | $2,691.53 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,380.38 Median $4,677.35 Typical High $5,128.61 | Facility | None | $1,380.38 | $4,677.35 | $5,128.61 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $2,454.71 | Professional | None | $1,380.38 | $1,905.46 | $2,454.71 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
Priority Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Priority Health Setting Professional Modifier None Typical Low $977.24 Median $1,348.96 Typical High $2,398.83 | Professional | None | $977.24 | $1,348.96 | $2,398.83 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,951.21 Typical High $3,548.13 | Facility | None | $2,511.89 | $2,951.21 | $3,548.13 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $1,659.59 | Professional | None | $891.25 | $1,148.15 | $1,659.59 |
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | RR · Rental | $2,398.83 | $2,398.83 | $2,398.83 |
Where Michigan sits
The same service costs 2.6 times more in Montana 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
$1,738
MT $2,512DE $977
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.