How much rates vary
Facilitymedian $631 · 10th to 90th $275 to $1,862Professionalmedian $309 · 10th to 90th $209 to $437
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 $239.88 Median $239.88 Typical High $426.58 | Facility | None | $239.88 | $239.88 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $426.58 | Professional | None | $239.88 | $239.88 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $213.80 | Professional | 52 · Reduced service | $120.23 | $120.23 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $85.11 | Professional | 53 · Discontinued | $47.86 | $47.86 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $63.10 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $42.66 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $42.66 |
BCBS Michigan Setting Facility Modifier None Typical Low $512.86 Median $1,258.93 Typical High $2,398.83 | Facility | None | $512.86 | $1,258.93 | $2,398.83 |
BCBS Michigan Setting Professional Modifier None Typical Low $407.38 Median $426.58 Typical High $426.58 | Professional | None | $407.38 | $426.58 | $426.58 |
CareSource Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $489.78 | Professional | None | $199.53 | $275.42 | $489.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $239.88 Median $831.76 Typical High $912.01 | Facility | None | $239.88 | $831.76 | $912.01 |
Health Alliance Plan Setting Professional Modifier None Typical Low $239.88 Median $338.84 Typical High $436.52 | Professional | None | $239.88 | $338.84 | $436.52 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $36.31 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $23.99 |
Priority Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Priority Health Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $467.74 | Professional | None | $199.53 | $275.42 | $467.74 |
United Setting Facility Modifier None Typical Low $218.78 Median $275.42 Typical High $562.34 | Facility | None | $218.78 | $275.42 | $562.34 |
United Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $309.03 | Professional | None | $173.78 | $208.93 | $309.03 |
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 $426.58 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $426.58 | $426.58 | $426.58 |
Where Michigan sits
The same service costs 2.9 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· 22nd of 51
$309
HI $617FL $214
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.