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 $100.00 Median $229.09 Typical High $4,897.79 | Facility | None | $100.00 | $229.09 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $181.97 Typical High $239.88 | Professional | None | $77.62 | $181.97 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $91.20 Typical High $117.49 | Professional | 52 · Reduced service | $48.98 | $91.20 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $36.31 Typical High $47.86 | Professional | 53 · Discontinued | $19.50 | $36.31 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $138.04 Typical High $177.83 | Professional | 54 · Surgery only | $74.13 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $27.54 Typical High $35.48 | Professional | 55 · Aftercare only | $14.79 | $27.54 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $18.20 Typical High $23.99 | Professional | 56 · Pre-op care only | $9.77 | $18.20 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $208.93 | Professional | None | $61.66 | $75.86 | $208.93 |
BCBS Michigan Setting Facility Modifier None Typical Low $707.95 Median $1,096.48 Typical High $1,659.59 | Facility | None | $707.95 | $1,096.48 | $1,659.59 |
BCBS Michigan Setting Professional Modifier None Typical Low $19.50 Median $95.50 Typical High $281.84 | Professional | None | $19.50 | $95.50 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $162.18 Typical High $316.23 | Professional | None | $74.13 | $162.18 | $316.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $102.33 Median $1,318.26 Typical High $4,677.35 | Facility | None | $102.33 | $1,318.26 | $4,677.35 |
Health Alliance Plan Setting Professional Modifier None Typical Low $93.33 Median $208.93 Typical High $275.42 | Professional | None | $93.33 | $208.93 | $275.42 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $77.62 Typical High $114.82 | Professional | 52 · Reduced service | $46.77 | $77.62 | $114.82 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $30.90 Typical High $45.71 | Professional | 53 · Discontinued | $18.62 | $30.90 | $45.71 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $114.82 Typical High $173.78 | Professional | 54 · Surgery only | $70.79 | $114.82 | $173.78 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $22.91 Typical High $34.67 | Professional | 55 · Aftercare only | $14.13 | $22.91 | $34.67 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $15.49 Typical High $22.91 | Professional | 56 · Pre-op care only | $9.33 | $15.49 | $22.91 |
Priority Health Setting Professional Modifier None Typical Low $72.44 Median $141.25 Typical High $295.12 | Professional | None | $72.44 | $141.25 | $295.12 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,288.25 Typical High $2,089.30 | Facility | None | $302.00 | $1,288.25 | $2,089.30 |
United Setting Professional Modifier None Typical Low $91.20 Median $181.97 Typical High $354.81 | Professional | None | $91.20 | $181.97 | $354.81 |
Where Michigan sits
The same service costs 2.7 times more in Wisconsin 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· 45th of 51
$138
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.