How much rates vary
Facilitymedian $724 · 10th to 90th $282 to $2,138Professionalmedian $355 · 10th to 90th $234 to $501
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 $275.42 Median $275.42 Typical High $489.78 | Facility | None | $275.42 | $275.42 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $489.78 | Professional | None | $275.42 | $275.42 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $245.47 | Professional | 52 · Reduced service | $138.04 | $138.04 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $97.72 | Professional | 53 · Discontinued | $56.23 | $56.23 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $72.44 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $27.54 Typical High $48.98 | Professional | 56 · Pre-op care only | $27.54 | $27.54 | $48.98 |
BCBS Michigan Setting Facility Modifier None Typical Low $588.84 Median $1,445.44 Typical High $2,754.23 | Facility | None | $588.84 | $1,445.44 | $2,754.23 |
BCBS Michigan Setting Professional Modifier None Typical Low $467.74 Median $489.78 Typical High $489.78 | Professional | None | $467.74 | $489.78 | $489.78 |
CareSource Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $549.54 | Professional | None | $229.09 | $316.23 | $549.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $281.84 Median $954.99 Typical High $1,047.13 | Facility | None | $281.84 | $954.99 | $1,047.13 |
Health Alliance Plan Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $501.19 | Professional | None | $281.84 | $389.05 | $501.19 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $41.69 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $28.18 |
Priority Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Priority Health Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $489.78 | Professional | None | $229.09 | $316.23 | $489.78 |
United Setting Facility Modifier None Typical Low $213.80 Median $257.04 Typical High $602.56 | Facility | None | $213.80 | $257.04 | $602.56 |
United Setting Professional Modifier None Typical Low $181.97 Median $234.42 Typical High $338.84 | Professional | None | $181.97 | $234.42 | $338.84 |
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 $489.78 Median $489.78 Typical High $489.78 | Professional | RR · Rental | $489.78 | $489.78 | $489.78 |
Where Michigan sits
The same service costs 2.5 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· 16th of 51
$363
HI $562DE $229
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.