How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,380 to $10,715Professionalmedian $1,778 · 10th to 90th $1,175 to $2,512
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 $2,454.71 | Facility | None | $1,380.38 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,454.71 | Professional | None | $1,380.38 | $1,380.38 | $2,454.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $1,230.27 | Professional | 52 · Reduced service | $691.83 | $691.83 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $489.78 | Professional | 53 · Discontinued | $275.42 | $275.42 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $363.08 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $245.47 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $245.47 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,951.21 Median $7,244.36 Typical High $13,489.63 | Facility | None | $2,951.21 | $7,244.36 | $13,489.63 |
BCBS Michigan Setting Professional Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,290.87 | $2,454.71 | $2,454.71 |
CareSource Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna 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 Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $1,698.24 | Professional | None | $1,148.15 | $1,584.89 | $1,698.24 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,380.38 Median $4,786.30 Typical High $5,128.61 | Facility | None | $1,380.38 | $4,786.30 | $5,128.61 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,380.38 Median $1,949.84 Typical High $2,511.89 | Professional | None | $1,380.38 | $1,949.84 | $2,511.89 |
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Priority Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $2,041.74 | Professional | None | $1,148.15 | $1,584.89 | $2,041.74 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,071.52 Typical High $2,570.40 | Facility | None | $794.33 | $1,071.52 | $2,570.40 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,513.56 | Professional | None | $812.83 | $1,174.90 | $1,513.56 |
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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | RR · Rental | $2,454.71 | $2,454.71 | $2,454.71 |
Where Michigan sits
The same service costs 2.3 times more in Wisconsin than in Washington, DC. 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· 12th of 51
$1,778
WI $2,455DC $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.