How much rates vary
Facilitymedian $1,047 · 10th to 90th $437 to $3,311Professionalmedian $550 · 10th to 90th $363 to $776
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 $436.52 Median $436.52 Typical High $758.58 | Facility | None | $436.52 | $436.52 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $758.58 | Professional | None | $436.52 | $436.52 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $218.78 Typical High $380.19 | Professional | 52 · Reduced service | $218.78 | $218.78 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $154.88 | Professional | 53 · Discontinued | $87.10 | $87.10 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $114.82 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $75.86 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $75.86 |
BCBS Michigan Setting Facility Modifier None Typical Low $933.25 Median $2,290.87 Typical High $4,265.80 | Facility | None | $933.25 | $2,290.87 | $4,265.80 |
BCBS Michigan Setting Professional Modifier None Typical Low $724.44 Median $758.58 Typical High $758.58 | Professional | None | $724.44 | $758.58 | $758.58 |
CareSource Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $794.33 | Professional | None | $389.05 | $524.81 | $794.33 |
Health Alliance Plan Setting Facility Modifier None Typical Low $436.52 Median $1,479.11 Typical High $1,621.81 | Facility | None | $436.52 | $1,479.11 | $1,621.81 |
Health Alliance Plan Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $776.25 | Professional | None | $436.52 | $616.60 | $776.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $218.78 | $218.78 | $218.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $87.10 | $87.10 | $87.10 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $66.07 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $43.65 |
Priority Health Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Priority Health Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $707.95 | Professional | None | $389.05 | $524.81 | $707.95 |
United Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $870.96 | Facility | None | $302.00 | $380.19 | $870.96 |
United Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $501.19 | Professional | None | $263.03 | $363.08 | $501.19 |
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 $758.58 Median $758.58 Typical High $758.58 | Professional | RR · Rental | $758.58 | $758.58 | $758.58 |
Where Michigan sits
The same service costs 2.3 times more in Hawaii than in Pennsylvania. 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
$575
HI $851PA $363
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.