How much rates vary
Facilitymedian $26,915 · 10th to 90th $10,471 to $79,433Professionalmedian $13,183 · 10th to 90th $8,710 to $18,621
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 $10,232.93 Median $10,232.93 Typical High $18,197.01 | Facility | None | $10,232.93 | $10,232.93 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $18,197.01 | Professional | None | $10,232.93 | $10,232.93 | $18,197.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5,128.61 Median $5,128.61 Typical High $9,120.11 | Professional | 52 · Reduced service | $5,128.61 | $5,128.61 | $9,120.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2,089.30 Median $2,089.30 Typical High $3,630.78 | Professional | 53 · Discontinued | $2,089.30 | $2,089.30 | $3,630.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,548.82 Median $1,548.82 Typical High $2,691.53 | Professional | 55 · Aftercare only | $1,548.82 | $1,548.82 | $2,691.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,023.29 Median $1,023.29 Typical High $1,819.70 | Professional | 56 · Pre-op care only | $1,023.29 | $1,023.29 | $1,819.70 |
BCBS Michigan Setting Facility Modifier None Typical Low $21,877.62 Median $53,703.18 Typical High $102,329.30 | Facility | None | $21,877.62 | $53,703.18 | $102,329.30 |
BCBS Michigan Setting Professional Modifier None Typical Low $17,378.01 Median $18,197.01 Typical High $18,197.01 | Professional | None | $17,378.01 | $18,197.01 | $18,197.01 |
CareSource Setting Facility Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Facility | None | $11,220.18 | $11,220.18 | $11,220.18 |
Cigna Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | None | $11,748.98 | $11,748.98 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $8,511.38 Median $11,748.98 Typical High $20,892.96 | Professional | None | $8,511.38 | $11,748.98 | $20,892.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $10,471.29 Median $35,481.34 Typical High $38,904.51 | Facility | None | $10,471.29 | $35,481.34 | $38,904.51 |
Health Alliance Plan Setting Professional Modifier None Typical Low $10,471.29 Median $14,454.40 Typical High $18,620.87 | Professional | None | $10,471.29 | $14,454.40 | $18,620.87 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | 52 · Reduced service | $5,128.61 | $5,128.61 | $5,128.61 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | 53 · Discontinued | $2,089.30 | $2,089.30 | $2,089.30 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 55 · Aftercare only | $1,548.82 | $1,548.82 | $1,548.82 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 56 · Pre-op care only | $1,047.13 | $1,047.13 | $1,047.13 |
Priority Health Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | None | $11,748.98 | $11,748.98 | $11,748.98 |
Priority Health Setting Professional Modifier None Typical Low $8,511.38 Median $11,748.98 Typical High $19,054.61 | Professional | None | $8,511.38 | $11,748.98 | $19,054.61 |
United Setting Facility Modifier None Typical Low $7,585.78 Median $8,912.51 Typical High $22,908.68 | Facility | None | $7,585.78 | $8,912.51 | $22,908.68 |
United Setting Professional Modifier None Typical Low $7,079.46 Median $8,709.64 Typical High $12,882.50 | Professional | None | $7,079.46 | $8,709.64 | $12,882.50 |
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 $18,197.01 Median $18,197.01 Typical High $18,197.01 | Professional | RR · Rental | $18,197.01 | $18,197.01 | $18,197.01 |
Where Michigan sits
The same service costs 2.6 times more in Montana 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· 17th of 51
$13,490
MT $21,878NJ $8,511
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.