How much rates vary
Facilitymedian $363 · 10th to 90th $141 to $1,072Professionalmedian $178 · 10th to 90th $117 to $251
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 $141.25 Median $141.25 Typical High $245.47 | Facility | None | $141.25 | $141.25 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $245.47 | Professional | None | $141.25 | $141.25 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $123.03 | Professional | 52 · Reduced service | $70.79 | $70.79 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $48.98 | Professional | 53 · Discontinued | $28.18 | $28.18 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $37.15 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $24.55 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $24.55 |
BCBS Michigan Setting Facility Modifier None Typical Low $295.12 Median $724.44 Typical High $1,380.38 | Facility | None | $295.12 | $724.44 | $1,380.38 |
BCBS Michigan Setting Professional Modifier None Typical Low $234.42 Median $245.47 Typical High $245.47 | Professional | None | $234.42 | $245.47 | $245.47 |
CareSource Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $275.42 | Professional | None | $117.49 | $158.49 | $275.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $141.25 Median $478.63 Typical High $524.81 | Facility | None | $141.25 | $478.63 | $524.81 |
Health Alliance Plan Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $251.19 | Professional | None | $141.25 | $194.98 | $251.19 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $20.89 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $14.13 |
Priority Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Priority Health Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $251.19 | Professional | None | $117.49 | $158.49 | $251.19 |
United Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $302.00 | Facility | None | $107.15 | $131.83 | $302.00 |
United Setting Professional Modifier None Typical Low $93.33 Median $117.49 Typical High $173.78 | Professional | None | $93.33 | $117.49 | $173.78 |
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 $245.47 Median $245.47 Typical High $245.47 | Professional | RR · Rental | $245.47 | $245.47 | $245.47 |
Where Michigan sits
The same service costs 2.4 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
$178
HI $282NJ $117
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.