How much rates vary
Facilitymedian $324 · 10th to 90th $151 to $525Professionalmedian $151 · 10th to 90th $141 to $195
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 $154.88 Median $194.98 Typical High $436.52 | Facility | None | $154.88 | $194.98 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $162.18 | Professional | None | $154.88 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $257.04 Typical High $257.04 | Professional | None | $134.90 | $257.04 | $257.04 |
BCBS Michigan Setting Facility Modifier None Typical Low $158.49 Median $309.03 Typical High $588.84 | Facility | None | $158.49 | $309.03 | $588.84 |
BCBS Michigan Setting Professional Modifier None Typical Low $144.54 Median $151.36 Typical High $151.36 | Professional | None | $144.54 | $151.36 | $151.36 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $134.90 Median $141.25 Typical High $141.25 | Professional | JW · Drug discarded | $134.90 | $141.25 | $141.25 |
CareSource Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $144.54 | Professional | None | $107.15 | $107.15 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $363.08 | Professional | None | $147.91 | $147.91 | $363.08 |
Health Alliance Plan Setting Facility Modifier None Typical Low $158.49 Median $389.05 Typical High $436.52 | Facility | None | $158.49 | $389.05 | $436.52 |
Health Alliance Plan Setting Professional Modifier None Typical Low $141.25 Median $151.36 Typical High $199.53 | Professional | None | $141.25 | $151.36 | $199.53 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $20.89 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $14.13 |
Priority Health Setting Professional Modifier None Typical Low $147.91 Median $338.84 Typical High $363.08 | Professional | None | $147.91 | $338.84 | $363.08 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $162.18 | Professional | None | $134.90 | $151.36 | $162.18 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier JB · Given under the skin Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | JB · Given under the skin | $134.90 | $134.90 | $134.90 |
Where Michigan sits
The same service costs 2.4 times more in Wyoming than in New York. 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· 10th of 51
$151
WY $355NY $148
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.