How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,479 to $11,220Professionalmedian $1,862 · 10th to 90th $1,230 to $2,630
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 $1,479.11 Median $1,479.11 Typical High $2,570.40 | Facility | None | $1,479.11 | $1,479.11 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,570.40 | Professional | None | $1,479.11 | $1,479.11 | $2,570.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $741.31 Typical High $1,288.25 | Professional | 52 · Reduced service | $741.31 | $741.31 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $512.86 | Professional | 53 · Discontinued | $295.12 | $295.12 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $389.05 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $257.04 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $257.04 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,090.30 Median $7,585.78 Typical High $14,454.40 | Facility | None | $3,090.30 | $7,585.78 | $14,454.40 |
BCBS Michigan Setting Professional Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,454.71 | $2,570.40 | $2,570.40 |
CareSource Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $1,862.09 | Professional | None | $1,202.26 | $1,659.59 | $1,862.09 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,479.11 Median $5,011.87 Typical High $5,495.41 | Facility | None | $1,479.11 | $5,011.87 | $5,495.41 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $2,630.27 | Professional | None | $1,479.11 | $2,041.74 | $2,630.27 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $741.31 | $741.31 | $741.31 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $295.12 | $295.12 | $295.12 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $218.78 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $147.91 |
Priority Health Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Priority Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $2,137.96 | Professional | None | $1,202.26 | $1,659.59 | $2,137.96 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,258.93 Typical High $3,090.30 | Facility | None | $977.24 | $1,258.93 | $3,090.30 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,778.28 | Professional | None | $954.99 | $1,230.27 | $1,778.28 |
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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | RR · Rental | $2,570.40 | $2,570.40 | $2,570.40 |
Where Michigan sits
The same service costs 2.4 times more in Hawaii than in Vermont. 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· 16th of 51
$1,950
HI $2,884VT $1,202
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.