How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $48.98 Median $91.20 Typical High $4,897.79 | Facility | None | $48.98 | $91.20 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $70.79 Typical High $91.20 | Professional | None | $47.86 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $35.48 Typical High $45.71 | Professional | 52 · Reduced service | $23.44 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $14.13 Typical High $18.20 | Professional | 53 · Discontinued | $9.55 | $14.13 | $18.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $52.48 Typical High $58.88 | Professional | 54 · Surgery only | $35.48 | $52.48 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $10.47 Typical High $13.80 | Professional | 55 · Aftercare only | $7.08 | $10.47 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $7.08 Typical High $9.12 | Professional | 56 · Pre-op care only | $4.79 | $7.08 | $9.12 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $151.36 Median $194.98 Typical High $478.63 | Facility | None | $151.36 | $194.98 | $478.63 |
BCBS Michigan Setting Professional Modifier None Typical Low $17.38 Median $87.10 Typical High $87.10 | Professional | None | $17.38 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Health Alliance Plan Setting Facility Modifier None Typical Low $89.13 Median $257.04 Typical High $4,897.79 | Facility | None | $89.13 | $257.04 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $64.57 Median $102.33 Typical High $138.04 | Professional | None | $64.57 | $102.33 | $138.04 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $33.88 Typical High $47.86 | Professional | 52 · Reduced service | $32.36 | $33.88 | $47.86 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $13.49 Typical High $19.05 | Professional | 53 · Discontinued | $12.88 | $13.49 | $19.05 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $50.12 Typical High $70.79 | Professional | 54 · Surgery only | $48.98 | $50.12 | $70.79 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $10.00 Typical High $14.45 | Professional | 55 · Aftercare only | $9.77 | $10.00 | $14.45 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.76 Typical High $9.55 | Professional | 56 · Pre-op care only | $6.46 | $6.76 | $9.55 |
Priority Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,202.26 | Facility | None | $91.20 | $177.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $134.90 | Professional | None | $75.86 | $107.15 | $134.90 |
Where Michigan sits
The same service costs 3.4 times more in Alaska than in Virginia. 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· 46th of 51
$95.50
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.