How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,413 to $13,183Professionalmedian $2,188 · 10th to 90th $1,413 to $3,090
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 $1,698.24 Median $1,698.24 Typical High $3,019.95 | Facility | None | $1,698.24 | $1,698.24 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $3,019.95 | Professional | None | $1,698.24 | $1,698.24 | $3,019.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $851.14 Typical High $1,513.56 | Professional | 52 · Reduced service | $851.14 | $851.14 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $602.56 | Professional | 53 · Discontinued | $338.84 | $338.84 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $446.68 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $302.00 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $302.00 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,630.78 Median $8,912.51 Typical High $16,595.87 | Facility | None | $3,630.78 | $8,912.51 | $16,595.87 |
BCBS Michigan Setting Professional Modifier None Typical Low $2,818.38 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,818.38 | $3,019.95 | $3,019.95 |
CareSource Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $2,818.38 | Professional | None | $1,047.13 | $1,412.54 | $2,818.38 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,698.24 Median $5,888.44 Typical High $6,309.57 | Facility | None | $1,698.24 | $5,888.44 | $6,309.57 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $3,090.30 | Professional | None | $1,698.24 | $2,398.83 | $3,090.30 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $338.84 | $338.84 | $338.84 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $257.04 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $169.82 |
Priority Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Priority Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $2,570.40 | Professional | None | $1,047.13 | $1,412.54 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,513.56 Typical High $3,090.30 | Facility | None | $1,348.96 | $1,513.56 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,445.44 Typical High $1,862.09 | Professional | None | $1,000.00 | $1,445.44 | $1,862.09 |
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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | RR · Rental | $3,019.95 | $3,019.95 | $3,019.95 |
Where Michigan sits
The same service costs 3.2 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· 14th of 51
$2,188
HI $3,388DE $1,047
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.