How much rates vary
Facilitymedian $288 · 10th to 90th $174 to $447Professionalmedian $174 · 10th to 90th $100 to $214
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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $158.49 Typical High $173.78 | Professional | None | $151.36 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $79.43 Typical High $87.10 | Professional | 52 · Reduced service | $75.86 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $31.62 Typical High $34.67 | Professional | 53 · Discontinued | $30.90 | $31.62 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $23.44 Typical High $25.70 | Professional | 55 · Aftercare only | $22.91 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.85 Typical High $17.38 | Professional | 56 · Pre-op care only | $15.14 | $15.85 | $17.38 |
BCBS Michigan Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
BCBS Michigan Setting Professional Modifier None Typical Low $204.17 Median $213.80 Typical High $213.80 | Professional | None | $204.17 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $309.03 | Professional | None | $104.71 | $104.71 | $309.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $173.78 Median $407.38 Typical High $446.68 | Facility | None | $173.78 | $407.38 | $446.68 |
Health Alliance Plan Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $173.78 | Professional | None | $128.82 | $173.78 | $173.78 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $25.70 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $17.38 Typical High $17.38 | Professional | 56 · Pre-op care only | $16.98 | $17.38 | $17.38 |
Priority Health Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $245.47 | Professional | None | $104.71 | $104.71 | $245.47 |
United Setting Facility Modifier None Typical Low $245.47 Median $288.40 Typical High $346.74 | Facility | None | $245.47 | $288.40 | $346.74 |
United Setting Professional Modifier None Typical Low $89.13 Median $97.72 Typical High $128.82 | Professional | None | $89.13 | $97.72 | $128.82 |
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 3.3 times more in Alaska 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· 23rd of 51
$174
AK $347IN $105
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.