How much rates vary
Facilitymedian $182 · 10th to 90th $120 to $309Professionalmedian $120 · 10th to 90th $71 to $148
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 $120.23 Median $120.23 Typical High $134.90 | Facility | None | $120.23 | $120.23 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | None | $107.15 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $60.26 | Professional | 52 · Reduced service | $52.48 | $52.48 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $23.99 | Professional | 53 · Discontinued | $21.38 | $21.38 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $17.78 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $12.02 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $12.02 |
BCBS Michigan Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
BCBS Michigan Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $147.91 | Professional | None | $141.25 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $213.80 | Professional | None | $64.57 | $64.57 | $213.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $72.44 Median $263.03 Typical High $309.03 | Facility | None | $72.44 | $263.03 | $309.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $120.23 | Professional | None | $89.13 | $120.23 | $120.23 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $54.95 | $60.26 | $60.26 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $21.88 | $23.99 | $23.99 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $16.22 | $17.78 | $17.78 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $10.96 | $12.02 | $12.02 |
Priority Health Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $169.82 | Professional | None | $64.57 | $64.57 | $169.82 |
United Setting Facility Modifier None Typical Low $154.88 Median $181.97 Typical High $218.78 | Facility | None | $154.88 | $181.97 | $218.78 |
United Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $89.13 | Professional | None | $54.95 | $66.07 | $89.13 |
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 2.4 times more in Montana than in Utah. 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· 17th of 51
$120
MT $155UT $64.57
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.