How much rates vary
Facilitymedian $79,433 · 10th to 90th $30,200 to $208,930Professionalmedian $33,884 · 10th to 90th $22,387 to $47,863
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 $26,915.35 Median $26,915.35 Typical High $46,773.51 | Facility | None | $26,915.35 | $26,915.35 | $46,773.51 |
Aetna Setting Professional Modifier None Typical Low $26,915.35 Median $26,915.35 Typical High $40,738.03 | Professional | None | $26,915.35 | $26,915.35 | $40,738.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13,489.63 Median $13,489.63 Typical High $20,417.38 | Professional | 52 · Reduced service | $13,489.63 | $13,489.63 | $20,417.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5,370.32 Median $5,370.32 Typical High $8,128.31 | Professional | 53 · Discontinued | $5,370.32 | $5,370.32 | $8,128.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3,981.07 Median $3,981.07 Typical High $6,025.60 | Professional | 55 · Aftercare only | $3,981.07 | $3,981.07 | $6,025.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2,691.53 Median $2,691.53 Typical High $4,073.80 | Professional | 56 · Pre-op care only | $2,691.53 | $2,691.53 | $4,073.80 |
BCBS Michigan Setting Facility Modifier None Typical Low $56,234.13 Median $138,038.43 Typical High $263,026.80 | Facility | None | $56,234.13 | $138,038.43 | $263,026.80 |
BCBS Michigan Setting Professional Modifier None Typical Low $44,668.36 Median $46,773.51 Typical High $46,773.51 | Professional | None | $44,668.36 | $46,773.51 | $46,773.51 |
CareSource Setting Facility Modifier None Typical Low $25,703.96 Median $25,703.96 Typical High $25,703.96 | Facility | None | $25,703.96 | $25,703.96 | $25,703.96 |
Cigna Setting Facility Modifier None Typical Low $30,199.52 Median $30,199.52 Typical High $30,199.52 | Facility | None | $30,199.52 | $30,199.52 | $30,199.52 |
Cigna Setting Professional Modifier None Typical Low $22,387.21 Median $30,199.52 Typical High $48,977.88 | Professional | None | $22,387.21 | $30,199.52 | $48,977.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $26,915.35 Median $91,201.08 Typical High $100,000.00 | Facility | None | $26,915.35 | $91,201.08 | $100,000.00 |
Health Alliance Plan Setting Professional Modifier None Typical Low $26,915.35 Median $37,153.52 Typical High $47,863.01 | Professional | None | $26,915.35 | $37,153.52 | $47,863.01 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Professional | 52 · Reduced service | $13,489.63 | $13,489.63 | $13,489.63 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | 53 · Discontinued | $5,370.32 | $5,370.32 | $5,370.32 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | 55 · Aftercare only | $3,981.07 | $3,981.07 | $3,981.07 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | 56 · Pre-op care only | $2,691.53 | $2,691.53 | $2,691.53 |
Priority Health Setting Facility Modifier None Typical Low $30,199.52 Median $30,199.52 Typical High $30,199.52 | Facility | None | $30,199.52 | $30,199.52 | $30,199.52 |
Priority Health Setting Professional Modifier None Typical Low $22,387.21 Median $30,199.52 Typical High $43,651.58 | Professional | None | $22,387.21 | $30,199.52 | $43,651.58 |
United Setting Facility Modifier None Typical Low $45,708.82 Median $53,703.18 Typical High $64,565.42 | Facility | None | $45,708.82 | $53,703.18 | $64,565.42 |
United Setting Professional Modifier None Typical Low $16,218.10 Median $22,387.21 Typical High $30,902.95 | Professional | None | $16,218.10 | $22,387.21 | $30,902.95 |
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 $46,773.51 Median $46,773.51 Typical High $46,773.51 | Professional | RR · Rental | $46,773.51 | $46,773.51 | $46,773.51 |
Where Michigan sits
The same service costs 2.1 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· 15th of 51
$35,481
HI $47,863NJ $22,387
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.