How much rates vary
Facilitymedian $204 · 10th to 90th $117 to $309Professionalmedian $117 · 10th to 90th $69 to $224
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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $117.49 | Professional | None | $104.71 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $58.88 | Professional | 52 · Reduced service | $52.48 | $52.48 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $23.99 | Professional | 53 · Discontinued | $20.89 | $20.89 | $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 $10.47 Median $10.47 Typical High $12.02 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $12.02 |
BCBS Michigan Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
BCBS Michigan Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | None | $213.80 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $213.80 | Professional | None | $61.66 | $61.66 | $213.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $117.49 Median $281.84 Typical High $309.03 | Facility | None | $117.49 | $281.84 | $309.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $120.23 | Professional | None | $89.13 | $117.49 | $120.23 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $54.95 | $58.88 | $58.88 |
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 $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $10.96 | $11.75 | $11.75 |
Priority Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $169.82 | Professional | None | $61.66 | $61.66 | $169.82 |
United Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $204.17 | Facility | None | $144.54 | $169.82 | $204.17 |
United Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $89.13 | Professional | None | $52.48 | $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 2.5 times more in Minnesota 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· 10th of 51
$117
MN $151UT $61.66
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.