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 $446.68 Median $446.68 Typical High $794.33 | Facility | None | $446.68 | $446.68 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $794.33 | Professional | None | $446.68 | $446.68 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $117.49 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $79.43 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $79.43 |
BCBS Michigan Setting Facility Modifier None Typical Low $954.99 Median $2,344.23 Typical High $4,466.84 | Facility | None | $954.99 | $2,344.23 | $4,466.84 |
BCBS Michigan Setting Professional Modifier None Typical Low $758.58 Median $794.33 Typical High $794.33 | Professional | None | $758.58 | $794.33 | $794.33 |
CareSource Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $562.34 Typical High $660.69 | Professional | None | $407.38 | $562.34 | $660.69 |
Health Alliance Plan Setting Facility Modifier None Typical Low $446.68 Median $1,548.82 Typical High $1,698.24 | Facility | None | $446.68 | $1,548.82 | $1,698.24 |
Health Alliance Plan Setting Professional Modifier None Typical Low $446.68 Median $630.96 Typical High $812.83 | Professional | None | $446.68 | $630.96 | $812.83 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $67.61 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $44.67 |
Priority Health Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Priority Health Setting Professional Modifier None Typical Low $407.38 Median $562.34 Typical High $660.69 | Professional | None | $407.38 | $562.34 | $660.69 |
United Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $1,096.48 | Facility | None | $776.25 | $912.01 | $1,096.48 |
United Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $512.86 | Professional | None | $275.42 | $380.19 | $512.86 |
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 $794.33 Median $794.33 Typical High $794.33 | Professional | RR · Rental | $794.33 | $794.33 | $794.33 |
Where Michigan sits
The same service costs 2.6 times more in Hawaii than in New Jersey. 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
$589
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.