How much rates vary
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 $537.03 Median $537.03 Typical High $954.99 | Facility | None | $537.03 | $537.03 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $954.99 | Professional | None | $537.03 | $537.03 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $141.25 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $95.50 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $95.50 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,148.15 Median $2,818.38 Typical High $5,248.07 | Facility | None | $1,148.15 | $2,818.38 | $5,248.07 |
BCBS Michigan Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $954.99 | Professional | None | $891.25 | $954.99 | $954.99 |
CareSource Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
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 $537.03 Median $1,862.09 Typical High $1,995.26 | Facility | None | $537.03 | $1,862.09 | $1,995.26 |
Health Alliance Plan Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $977.24 | Professional | None | $537.03 | $758.58 | $977.24 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $81.28 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
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 $794.33 | Professional | None | $389.05 | $524.81 | $794.33 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,318.26 | Facility | None | $933.25 | $1,096.48 | $1,318.26 |
United Setting Professional Modifier None Typical Low $331.13 Median $457.09 Typical High $616.60 | Professional | None | $331.13 | $457.09 | $616.60 |
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 $954.99 Median $954.99 Typical High $954.99 | Professional | RR · Rental | $954.99 | $954.99 | $954.99 |
Where Michigan sits
The same service costs 3.2 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· 15th of 51
$708
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.