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 $61.66 Median $61.66 Typical High $79.43 | Facility | None | $61.66 | $61.66 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $79.43 | Professional | None | $61.66 | $63.10 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | 52 · Reduced service | $30.90 | $30.90 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.59 Typical High $15.85 | Professional | 53 · Discontinued | $12.30 | $12.59 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $12.02 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.31 Typical High $7.94 | Professional | 56 · Pre-op care only | $6.17 | $6.31 | $7.94 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,412.54 | $1,479.11 | $1,479.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Health Alliance Plan Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $91.20 | Professional | None | $79.43 | $91.20 | $91.20 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $39.81 | $45.71 | $45.71 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $15.85 | $18.20 | $18.20 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $13.49 Typical High $13.49 | Professional | 55 · Aftercare only | $12.02 | $13.49 | $13.49 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $7.94 | $9.12 | $9.12 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $4,365.16 | Facility | None | $1,584.89 | $2,089.30 | $4,365.16 |
United Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $112.20 | Professional | None | $91.20 | $100.00 | $112.20 |
Where Michigan sits
The same service costs 3.2 times more in Alaska than in New York. 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· 18th of 51
$100
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.