How much rates vary
Facilitymedian $28 · 10th to 90th $13 to $83Professionalmedian $14 · 10th to 90th $9 to $19
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 $10.72 Median $10.72 Typical High $19.05 | Facility | None | $10.72 | $10.72 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $25.70 | Professional | None | $10.72 | $10.72 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.37 Typical High $9.33 | Professional | 52 · Reduced service | $5.37 | $5.37 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $3.80 | Professional | 53 · Discontinued | $2.14 | $2.14 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.62 Median $1.62 Typical High $2.82 | Professional | 55 · Aftercare only | $1.62 | $1.62 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.07 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.07 | $1.07 | $1.91 |
BCBS Michigan Setting Facility Modifier None Typical Low $22.91 Median $56.23 Typical High $104.71 | Facility | None | $22.91 | $56.23 | $104.71 |
BCBS Michigan Setting Professional Modifier None Typical Low $17.78 Median $19.05 Typical High $19.05 | Professional | None | $17.78 | $19.05 | $19.05 |
CareSource Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $14.45 Typical High $21.88 | Professional | None | $10.47 | $14.45 | $21.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $10.72 Median $37.15 Typical High $39.81 | Facility | None | $10.72 | $37.15 | $39.81 |
Health Alliance Plan Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $19.50 | Professional | None | $10.72 | $15.14 | $19.50 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 52 · Reduced service | $5.37 | $5.37 | $5.37 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.14 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | 55 · Aftercare only | $1.62 | $1.62 | $1.62 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.07 Typical High $1.07 | Professional | 56 · Pre-op care only | $1.07 | $1.07 | $1.07 |
Priority Health Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Priority Health Setting Professional Modifier None Typical Low $10.47 Median $14.45 Typical High $21.38 | Professional | None | $10.47 | $14.45 | $21.38 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.88 Typical High $25.70 | Facility | None | $12.59 | $12.88 | $25.70 |
United Setting Professional Modifier None Typical Low $7.94 Median $9.33 Typical High $14.13 | Professional | None | $7.94 | $9.33 | $14.13 |
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 $19.05 Median $19.05 Typical High $19.05 | Professional | RR · Rental | $19.05 | $19.05 | $19.05 |
Where Michigan sits
The same service costs 3.0 times more in Hawaii than in Delaware. 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· 23rd of 51
$14.45
HI $31.62DE $10.47
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.