How much rates vary
Facilitymedian $331 · 10th to 90th $138 to $1,047Professionalmedian $174 · 10th to 90th $115 to $245
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 $138.04 Median $138.04 Typical High $239.88 | Facility | None | $138.04 | $138.04 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $239.88 | Professional | None | $138.04 | $138.04 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $120.23 | Professional | 52 · Reduced service | $69.18 | $69.18 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $47.86 | Professional | 53 · Discontinued | $27.54 | $27.54 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $36.31 | Professional | 55 · Aftercare only | $20.42 | $20.42 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $23.99 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $23.99 |
BCBS Michigan Setting Facility Modifier None Typical Low $288.40 Median $707.95 Typical High $1,348.96 | Facility | None | $288.40 | $707.95 | $1,348.96 |
BCBS Michigan Setting Professional Modifier None Typical Low $229.09 Median $239.88 Typical High $239.88 | Professional | None | $229.09 | $239.88 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $251.19 | Professional | None | $123.03 | $169.82 | $251.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $138.04 Median $467.74 Typical High $512.86 | Facility | None | $138.04 | $467.74 | $512.86 |
Health Alliance Plan Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $245.47 | Professional | None | $138.04 | $190.55 | $245.47 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 55 · Aftercare only | $20.42 | $20.42 | $20.42 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $13.80 |
Priority Health Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Priority Health Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $229.09 | Professional | None | $123.03 | $169.82 | $229.09 |
United Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $275.42 | Facility | None | $107.15 | $134.90 | $275.42 |
United Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $162.18 | Professional | None | $85.11 | $114.82 | $162.18 |
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 $239.88 Median $239.88 Typical High $239.88 | Professional | RR · Rental | $239.88 | $239.88 | $239.88 |
Where Michigan sits
The same service costs 2.7 times more in Hawaii than in Washington, DC. 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
$174
HI $295DC $110
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.