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 $52.48 Median $138.04 Typical High $4,897.79 | Facility | None | $52.48 | $138.04 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $138.04 | Professional | None | $52.48 | $75.86 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $38.02 Typical High $69.18 | Professional | 52 · Reduced service | $26.30 | $38.02 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $15.85 Typical High $27.54 | Professional | 53 · Discontinued | $10.47 | $15.85 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $57.54 Typical High $104.71 | Professional | 54 · Surgery only | $38.90 | $57.54 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $12.02 Typical High $20.89 | Professional | 55 · Aftercare only | $7.76 | $12.02 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $7.94 Typical High $13.80 | Professional | 56 · Pre-op care only | $5.25 | $7.94 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
BCBS Michigan Setting Facility Modifier None Typical Low $95.50 Median $97.72 Typical High $169.82 | Facility | None | $95.50 | $97.72 | $169.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $9.33 Median $46.77 Typical High $158.49 | Professional | None | $9.33 | $46.77 | $158.49 |
CareSource Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $165.96 | Professional | None | $100.00 | $138.04 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $85.11 Typical High $173.78 | Professional | None | $38.02 | $85.11 | $173.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $66.07 Median $147.91 Typical High $7,762.47 | Facility | None | $66.07 | $147.91 | $7,762.47 |
Health Alliance Plan Setting Professional Modifier None Typical Low $52.48 Median $100.00 Typical High $147.91 | Professional | None | $52.48 | $100.00 | $147.91 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $30.90 Typical High $74.13 | Professional | 52 · Reduced service | $26.30 | $30.90 | $74.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $15.14 Typical High $29.51 | Professional | 53 · Discontinued | $10.47 | $15.14 | $29.51 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $45.71 Typical High $109.65 | Professional | 54 · Surgery only | $38.90 | $45.71 | $109.65 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $9.33 Typical High $21.88 | Professional | 55 · Aftercare only | $7.76 | $9.33 | $21.88 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $6.17 Typical High $14.79 | Professional | 56 · Pre-op care only | $5.25 | $6.17 | $14.79 |
Priority Health Setting Professional Modifier None Typical Low $33.11 Median $85.11 Typical High $154.88 | Professional | None | $33.11 | $85.11 | $154.88 |
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 $50.12 Median $85.11 Typical High $125.89 | Professional | None | $50.12 | $85.11 | $125.89 |
Where Michigan sits
The same service costs 3.4 times more in Alaska than in Washington, DC. 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· 48th of 51
$60.26
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.