How much rates vary
Facilitymedian $245 · 10th to 90th $182 to $468Professionalmedian $182 · 10th to 90th $102 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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $162.18 Typical High $181.97 | Professional | None | $151.36 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $81.28 Typical High $91.20 | Professional | 52 · Reduced service | $75.86 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $32.36 Typical High $36.31 | Professional | 53 · Discontinued | $30.20 | $32.36 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $23.99 Typical High $26.92 | Professional | 55 · Aftercare only | $22.39 | $23.99 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $16.22 Typical High $18.20 | Professional | 56 · Pre-op care only | $15.14 | $16.22 | $18.20 |
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 $89.13 Median $89.13 Typical High $323.59 | Professional | None | $89.13 | $89.13 | $323.59 |
Health Alliance Plan Setting Facility Modifier None Typical Low $181.97 Median $426.58 Typical High $467.74 | Facility | None | $181.97 | $426.58 | $467.74 |
Health Alliance Plan Setting Professional Modifier None Typical Low $134.90 Median $181.97 Typical High $181.97 | Professional | None | $134.90 | $181.97 | $181.97 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $77.62 | $91.20 | $91.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $30.90 | $36.31 | $36.31 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $26.92 Typical High $26.92 | Professional | 55 · Aftercare only | $23.44 | $26.92 | $26.92 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $15.49 | $18.20 | $18.20 |
Priority Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $257.04 | Professional | None | $89.13 | $89.13 | $257.04 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $295.12 | Facility | None | $208.93 | $245.47 | $295.12 |
United Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $134.90 | Professional | None | $75.86 | $100.00 | $134.90 |
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 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· 7th of 51
$182
MN $229UT $89.13
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.