How much rates vary
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 $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.89 Typical High $5.89 | Professional | None | $5.62 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $2.95 Typical High $2.95 | Professional | 52 · Reduced service | $2.82 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.17 Typical High $1.17 | Professional | 53 · Discontinued | $1.12 | $1.17 | $1.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.85 Median $0.89 Typical High $0.89 | Professional | 55 · Aftercare only | $0.85 | $0.89 | $0.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.59 Typical High $0.59 | Professional | 56 · Pre-op care only | $0.56 | $0.59 | $0.59 |
BCBS Michigan Setting Facility Modifier None Typical Low $32.36 Median $37.15 Typical High $43.65 | Facility | None | $32.36 | $37.15 | $43.65 |
BCBS Michigan Setting Professional Modifier None Typical Low $28.84 Median $38.02 Typical High $43.65 | Professional | None | $28.84 | $38.02 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $27.54 | Professional | None | $19.05 | $19.05 | $27.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $6.03 Median $85.11 Typical High $91.20 | Facility | None | $6.03 | $85.11 | $91.20 |
Health Alliance Plan Setting Professional Modifier None Typical Low $6.03 Median $6.31 Typical High $30.90 | Professional | None | $6.03 | $6.31 | $30.90 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $3.02 Median $3.16 Typical High $3.16 | Professional | 52 · Reduced service | $3.02 | $3.16 | $3.16 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.26 Typical High $1.26 | Professional | 53 · Discontinued | $1.20 | $1.26 | $1.26 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.89 Median $0.95 Typical High $0.95 | Professional | 55 · Aftercare only | $0.89 | $0.95 | $0.95 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.60 Median $0.65 Typical High $0.65 | Professional | 56 · Pre-op care only | $0.60 | $0.65 | $0.65 |
Priority Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $26.30 | Professional | None | $19.05 | $19.05 | $26.30 |
United Setting Facility Modifier None Typical Low $38.90 Median $50.12 Typical High $104.71 | Facility | None | $38.90 | $50.12 | $104.71 |
United Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Where Michigan sits
The same service costs 11.7 times more in New York than in North Carolina. 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· 32nd of 51
$23.99
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.