How much rates vary
Facilitymedian $138 · 10th to 90th $50 to $398Professionalmedian $66 · 10th to 90th $44 to $93
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 $51.29 Median $51.29 Typical High $91.20 | Facility | None | $51.29 | $51.29 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $114.82 | Professional | None | $51.29 | $51.29 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $45.71 | Professional | 52 · Reduced service | $25.70 | $25.70 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $18.20 | Professional | 53 · Discontinued | $10.23 | $10.23 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.76 Typical High $13.49 | Professional | 55 · Aftercare only | $7.76 | $7.76 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.13 Typical High $9.12 | Professional | 56 · Pre-op care only | $5.13 | $5.13 | $9.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $109.65 Median $269.15 Typical High $512.86 | Facility | None | $109.65 | $269.15 | $512.86 |
BCBS Michigan Setting Professional Modifier None Typical Low $87.10 Median $91.20 Typical High $91.20 | Professional | None | $87.10 | $91.20 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $50.12 Typical High $100.00 | Professional | None | $37.15 | $50.12 | $100.00 |
Health Alliance Plan Setting Facility Modifier None Typical Low $51.29 Median $177.83 Typical High $194.98 | Facility | None | $51.29 | $177.83 | $194.98 |
Health Alliance Plan Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $93.33 | Professional | None | $51.29 | $72.44 | $93.33 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $10.47 | $10.47 | $10.47 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 55 · Aftercare only | $7.76 | $7.76 | $7.76 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 56 · Pre-op care only | $5.25 | $5.25 | $5.25 |
Priority Health Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Priority Health Setting Professional Modifier None Typical Low $37.15 Median $50.12 Typical High $91.20 | Professional | None | $37.15 | $50.12 | $91.20 |
United Setting Facility Modifier None Typical Low $44.67 Median $93.33 Typical High $109.65 | Facility | None | $44.67 | $93.33 | $109.65 |
United Setting Professional Modifier None Typical Low $33.88 Median $43.65 Typical High $61.66 | Professional | None | $33.88 | $43.65 | $61.66 |
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 $91.20 Median $91.20 Typical High $91.20 | Professional | RR · Rental | $91.20 | $91.20 | $91.20 |
Where Michigan sits
The same service costs 2.8 times more in Kansas 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· 19th of 51
$66.07
KS $107DE $38.90
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.