How much rates vary
Facilitymedian $339 · 10th to 90th $148 to $1,122Professionalmedian $186 · 10th to 90th $123 to $263
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 $147.91 Median $147.91 Typical High $257.04 | Facility | None | $147.91 | $147.91 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $257.04 | Professional | None | $147.91 | $147.91 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $128.82 | Professional | 52 · Reduced service | $74.13 | $74.13 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $51.29 | Professional | 53 · Discontinued | $29.51 | $29.51 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $38.90 | Professional | 55 · Aftercare only | $21.88 | $21.88 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $25.70 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $25.70 |
BCBS Michigan Setting Facility Modifier None Typical Low $309.03 Median $758.58 Typical High $1,445.44 | Facility | None | $309.03 | $758.58 | $1,445.44 |
BCBS Michigan Setting Professional Modifier None Typical Low $245.47 Median $257.04 Typical High $257.04 | Professional | None | $245.47 | $257.04 | $257.04 |
CareSource Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $257.04 | Professional | None | $128.82 | $173.78 | $257.04 |
Health Alliance Plan Setting Facility Modifier None Typical Low $147.91 Median $501.19 Typical High $549.54 | Facility | None | $147.91 | $501.19 | $549.54 |
Health Alliance Plan Setting Professional Modifier None Typical Low $147.91 Median $204.17 Typical High $263.03 | Professional | None | $147.91 | $204.17 | $263.03 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $22.39 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $14.79 |
Priority Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Priority Health Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $234.42 | Professional | None | $128.82 | $173.78 | $234.42 |
United Setting Facility Modifier None Typical Low $85.11 Median $109.65 Typical High $281.84 | Facility | None | $85.11 | $109.65 | $281.84 |
United Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $165.96 | Professional | None | $87.10 | $123.03 | $165.96 |
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 $257.04 Median $257.04 Typical High $257.04 | Professional | RR · Rental | $257.04 | $257.04 | $257.04 |
Where Michigan sits
The same service costs 2.0 times more in Wisconsin 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
$186
WI $257DE $129
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.