How much rates vary
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 $31.62 Median $39.81 Typical High $100.00 | Facility | None | $31.62 | $39.81 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $31.62 Typical High $46.77 | Professional | None | $30.90 | $31.62 | $46.77 |
BCBS Michigan Setting Facility Modifier None Typical Low $35.48 Median $42.66 Typical High $123.03 | Facility | None | $35.48 | $42.66 | $123.03 |
BCBS Michigan Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $38.90 | Professional | None | $33.11 | $35.48 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $30.90 Median $81.28 Typical High $100.00 | Facility | None | $30.90 | $81.28 | $100.00 |
Health Alliance Plan Setting Professional Modifier None Typical Low $30.90 Median $31.62 Typical High $43.65 | Professional | None | $30.90 | $31.62 | $43.65 |
Priority Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
United Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | None | $36.31 | $36.31 | $37.15 |
5 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.85 Typical High $27.54 | Professional | 52 · Reduced service | $15.49 | $15.85 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.31 Typical High $10.96 | Professional | 53 · Discontinued | $6.17 | $6.31 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.79 Typical High $8.32 | Professional | 55 · Aftercare only | $4.57 | $4.79 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.16 Typical High $5.50 | Professional | 56 · Pre-op care only | $3.09 | $3.16 | $5.50 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $31.62 Median $33.11 Typical High $34.67 | Professional | JW · Drug discarded | $31.62 | $33.11 | $34.67 |
Where Michigan sits
The same service costs 1.9 times more in Texas than in Tennessee. 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· 25th of 51
$35.48
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.