How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,778 to $15,849Professionalmedian $2,630 · 10th to 90th $1,698 to $3,715
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 $2,089.30 Median $2,089.30 Typical High $3,630.78 | Facility | None | $2,089.30 | $2,089.30 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $3,630.78 | Professional | None | $2,089.30 | $2,089.30 | $3,630.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,047.13 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $724.44 | Professional | 53 · Discontinued | $416.87 | $416.87 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $549.54 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $363.08 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $363.08 |
BCBS Michigan Setting Facility Modifier None Typical Low $4,365.16 Median $10,715.19 Typical High $20,417.38 | Facility | None | $4,365.16 | $10,715.19 | $20,417.38 |
BCBS Michigan Setting Professional Modifier None Typical Low $3,467.37 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,467.37 | $3,630.78 | $3,630.78 |
CareSource Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $3,548.13 | Professional | None | $1,288.25 | $1,778.28 | $3,548.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,089.30 Median $7,079.46 Typical High $7,762.47 | Facility | None | $2,089.30 | $7,079.46 | $7,762.47 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $3,715.35 | Professional | None | $2,089.30 | $2,884.03 | $3,715.35 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,047.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $416.87 | $416.87 | $416.87 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $309.03 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $208.93 |
Priority Health Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Priority Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $3,162.28 | Professional | None | $1,288.25 | $1,778.28 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $3,890.45 | Facility | None | $1,621.81 | $1,862.09 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $2,290.87 | Professional | None | $1,202.26 | $1,737.80 | $2,290.87 |
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 $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | RR · Rental | $3,630.78 | $3,630.78 | $3,630.78 |
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· 15th of 51
$2,630
HI $4,169DE $1,288
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.