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 $2,137.96 Median $5,754.40 Typical High $6,456.54 | Facility | None | $2,137.96 | $5,754.40 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,951.21 | Professional | None | $2,089.30 | $2,137.96 | $2,951.21 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,187.76 Median $4,265.80 Typical High $8,128.31 | Facility | None | $2,187.76 | $4,265.80 | $8,128.31 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $2,344.23 | Professional | None | $1,995.26 | $2,089.30 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,089.30 | Professional | None | $1,737.80 | $1,737.80 | $2,089.30 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,187.76 Median $5,623.41 Typical High $6,456.54 | Facility | None | $2,187.76 | $5,623.41 | $6,456.54 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $2,818.38 | Professional | None | $2,041.74 | $2,089.30 | $2,818.38 |
Priority Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,089.30 | Professional | None | $1,737.80 | $1,737.80 | $2,089.30 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,691.53 | Professional | None | $1,995.26 | $1,995.26 | $2,691.53 |
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 $1,023.29 Median $1,071.52 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,023.29 | $1,071.52 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $426.58 Typical High $524.81 | Professional | 53 · Discontinued | $416.87 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $316.23 Typical High $389.05 | Professional | 55 · Aftercare only | $309.03 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $213.80 Typical High $263.03 | Professional | 56 · Pre-op care only | $208.93 | $213.80 | $263.03 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $1,862.09 Median $1,995.26 Typical High $2,089.30 | Professional | JW · Drug discarded | $1,862.09 | $1,995.26 | $2,089.30 |
Where Michigan sits
The same service costs 2.0 times more in Alaska than in Oklahoma. 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· 39th of 51
$2,089
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.