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 $87.10 Median $87.10 Typical High $89.13 | Facility | None | $87.10 | $87.10 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $89.13 | Professional | None | $79.43 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $42.66 Typical High $44.67 | Professional | 52 · Reduced service | $39.81 | $42.66 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.38 Typical High $17.78 | Professional | 53 · Discontinued | $16.22 | $17.38 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.88 Typical High $13.18 | Professional | 55 · Aftercare only | $12.02 | $12.88 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.51 Typical High $8.91 | Professional | 56 · Pre-op care only | $7.94 | $8.51 | $8.91 |
BCBS Michigan Setting Facility Modifier None Typical Low $338.84 Median $346.74 Typical High $588.84 | Facility | None | $338.84 | $346.74 | $588.84 |
BCBS Michigan Setting Professional Modifier None Typical Low $16.22 Median $58.88 Typical High $95.50 | Professional | None | $16.22 | $58.88 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $91.20 Typical High $223.87 | Professional | None | $53.70 | $91.20 | $223.87 |
Health Alliance Plan Setting Facility Modifier None Typical Low $89.13 Median $213.80 Typical High $213.80 | Facility | None | $89.13 | $213.80 | $213.80 |
Health Alliance Plan Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $112.20 | Professional | None | $74.13 | $89.13 | $112.20 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $44.67 | $44.67 | $44.67 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $13.49 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $8.91 |
Priority Health Setting Professional Modifier None Typical Low $53.70 Median $91.20 Typical High $134.90 | Professional | None | $53.70 | $91.20 | $134.90 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,230.27 | Facility | None | $91.20 | $177.83 | $1,230.27 |
United Setting Professional Modifier None Typical Low $81.28 Median $89.13 Typical High $125.89 | Professional | None | $81.28 | $89.13 | $125.89 |
Where Michigan sits
The same service costs 4.5 times more in Wisconsin than in Kentucky. 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· 39th of 51
$89.13
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.