How much rates vary
Facilitymedian $347 · 10th to 90th $141 to $1,096Professionalmedian $182 · 10th to 90th $120 to $257
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 $141.25 Median $141.25 Typical High $251.19 | Facility | None | $141.25 | $141.25 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $251.19 | Professional | None | $141.25 | $141.25 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $125.89 | Professional | 52 · Reduced service | $70.79 | $70.79 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $50.12 | Professional | 53 · Discontinued | $28.18 | $28.18 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $37.15 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $25.12 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $25.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $302.00 Median $741.31 Typical High $1,380.38 | Facility | None | $302.00 | $741.31 | $1,380.38 |
BCBS Michigan Setting Professional Modifier None Typical Low $234.42 Median $251.19 Typical High $251.19 | Professional | None | $234.42 | $251.19 | $251.19 |
CareSource Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $263.03 | Professional | None | $120.23 | $165.96 | $263.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $141.25 Median $489.78 Typical High $524.81 | Facility | None | $141.25 | $489.78 | $524.81 |
Health Alliance Plan Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $257.04 | Professional | None | $141.25 | $199.53 | $257.04 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $21.38 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $14.13 |
Priority Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Priority Health Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $234.42 | Professional | None | $120.23 | $165.96 | $234.42 |
United Setting Facility Modifier None Typical Low $138.04 Median $141.25 Typical High $288.40 | Facility | None | $138.04 | $141.25 | $288.40 |
United Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $165.96 | Professional | None | $87.10 | $120.23 | $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 $251.19 Median $251.19 Typical High $251.19 | Professional | RR · Rental | $251.19 | $251.19 | $251.19 |
Where Michigan sits
The same service costs 2.8 times more in Hawaii than in Florida. 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
$182
HI $331FL $120
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.