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 $70.79 Median $70.79 Typical High $91.20 | Facility | None | $70.79 | $70.79 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $91.20 | Professional | None | $70.79 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | 52 · Reduced service | $35.48 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $18.20 | Professional | 53 · Discontinued | $14.13 | $14.13 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $13.49 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $9.12 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $9.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
BCBS Michigan Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $331.13 | Professional | None | $309.03 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $478.63 | Professional | None | $147.91 | $147.91 | $478.63 |
Health Alliance Plan Setting Facility Modifier None Typical Low $83.18 Median $251.19 Typical High $275.42 | Facility | None | $83.18 | $251.19 | $275.42 |
Health Alliance Plan Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $125.89 | Professional | None | $83.18 | $93.33 | $125.89 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $12.59 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $8.32 |
Priority Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $478.63 | Professional | None | $147.91 | $147.91 | $478.63 |
United Setting Facility Modifier None Typical Low $354.81 Median $457.09 Typical High $954.99 | Facility | None | $354.81 | $457.09 | $954.99 |
United Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $120.23 | Professional | None | $79.43 | $89.13 | $120.23 |
Where Michigan sits
The same service costs 5.0 times more in Alaska than in Pennsylvania. 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· 24th of 51
$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.