How much rates vary
Facilitymedian $158 · 10th to 90th $89 to $229Professionalmedian $89 · 10th to 90th $52 to $186
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $89.13 | Professional | None | $79.43 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $44.67 | Professional | 52 · Reduced service | $39.81 | $39.81 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $17.78 | Professional | 53 · Discontinued | $15.85 | $15.85 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.02 Typical High $13.49 | Professional | 55 · Aftercare only | $12.02 | $12.02 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $8.91 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $8.91 |
BCBS Michigan Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
BCBS Michigan Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $186.21 | Professional | None | $173.78 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $158.49 | Professional | None | $47.86 | $47.86 | $158.49 |
Health Alliance Plan Setting Facility Modifier None Typical Low $89.13 Median $213.80 Typical High $229.09 | Facility | None | $89.13 | $213.80 | $229.09 |
Health Alliance Plan Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $89.13 | Professional | None | $66.07 | $89.13 | $89.13 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $40.74 | $44.67 | $44.67 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $16.22 | $17.78 | $17.78 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $13.49 Typical High $13.49 | Professional | 55 · Aftercare only | $12.30 | $13.49 | $13.49 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.91 Typical High $8.91 | Professional | 56 · Pre-op care only | $8.13 | $8.91 | $8.91 |
Priority Health Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $128.82 | Professional | None | $47.86 | $47.86 | $128.82 |
United Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $158.49 | Facility | None | $112.20 | $131.83 | $158.49 |
United Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $66.07 | Professional | None | $40.74 | $50.12 | $66.07 |
3 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Michigan sits
The same service costs 2.6 times more in Hawaii than in Indiana. 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· 15th of 51
$89.13
HI $126IN $47.86
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.