How much rates vary
Facilitymedian $1,514 · 10th to 90th $646 to $4,266Professionalmedian $708 · 10th to 90th $468 to $1,000
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 $562.34 Median $562.34 Typical High $977.24 | Facility | None | $562.34 | $562.34 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $977.24 | Professional | None | $562.34 | $562.34 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $489.78 | Professional | 52 · Reduced service | $281.84 | $281.84 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $194.98 | Professional | 53 · Discontinued | $112.20 | $112.20 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $147.91 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $97.72 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $97.72 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,174.90 Median $2,884.03 Typical High $5,495.41 | Facility | None | $1,174.90 | $2,884.03 | $5,495.41 |
BCBS Michigan Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $977.24 | Professional | None | $933.25 | $977.24 | $977.24 |
CareSource Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $831.76 | Professional | None | $467.74 | $645.65 | $831.76 |
Health Alliance Plan Setting Facility Modifier None Typical Low $562.34 Median $1,905.46 Typical High $2,089.30 | Facility | None | $562.34 | $1,905.46 | $2,089.30 |
Health Alliance Plan Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,000.00 | Professional | None | $562.34 | $776.25 | $1,000.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $83.18 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $56.23 |
Priority Health Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Priority Health Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $831.76 | Professional | None | $630.96 | $660.69 | $831.76 |
United Setting Facility Modifier None Typical Low $489.78 Median $870.96 Typical High $1,023.29 | Facility | None | $489.78 | $870.96 | $1,023.29 |
United Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $616.60 | Professional | None | $323.59 | $467.74 | $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 $977.24 Median $977.24 Typical High $977.24 | Professional | RR · Rental | $977.24 | $977.24 | $977.24 |
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· 15th of 51
$708
HI $1,096DC $407
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.