How much rates vary
Facilitymedian $38 · 10th to 90th $15 to $110Professionalmedian $18 · 10th to 90th $12 to $26
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 $14.45 Median $14.45 Typical High $25.12 | Facility | None | $14.45 | $14.45 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $33.88 | Professional | None | $14.45 | $14.45 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.24 Typical High $12.59 | Professional | 52 · Reduced service | $7.24 | $7.24 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $5.01 | Professional | 53 · Discontinued | $2.88 | $2.88 | $5.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.14 Typical High $3.80 | Professional | 55 · Aftercare only | $2.14 | $2.14 | $3.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.45 Typical High $2.51 | Professional | 56 · Pre-op care only | $1.45 | $1.45 | $2.51 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
BCBS Michigan Setting Facility Modifier None Typical Low $30.20 Median $74.13 Typical High $141.25 | Facility | None | $30.20 | $74.13 | $141.25 |
BCBS Michigan Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $25.12 | Professional | None | $23.99 | $25.12 | $25.12 |
CareSource Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $28.84 | Professional | None | $12.02 | $16.22 | $28.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $14.45 Median $48.98 Typical High $53.70 | Facility | None | $14.45 | $48.98 | $53.70 |
Health Alliance Plan Setting Professional Modifier None Typical Low $14.45 Median $19.95 Typical High $25.70 | Professional | None | $14.45 | $19.95 | $25.70 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $7.24 | $7.24 | $7.24 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.88 | $2.88 | $2.88 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | 55 · Aftercare only | $2.14 | $2.14 | $2.14 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | 56 · Pre-op care only | $1.45 | $1.45 | $1.45 |
Priority Health Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Priority Health Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $26.30 | Professional | None | $12.02 | $16.22 | $26.30 |
United Setting Facility Modifier None Typical Low $12.88 Median $15.49 Typical High $31.62 | Facility | None | $12.88 | $15.49 | $31.62 |
United Setting Professional Modifier None Typical Low $9.77 Median $12.02 Typical High $17.78 | Professional | None | $9.77 | $12.02 | $17.78 |
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 $25.12 Median $25.12 Typical High $25.12 | Professional | RR · Rental | $25.12 | $25.12 | $25.12 |
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· 20th of 51
$19.05
HI $35.48DE $12.02
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.