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 $67.61 Median $125.89 Typical High $4,897.79 | Facility | None | $67.61 | $125.89 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $131.83 | Professional | None | $67.61 | $100.00 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $45.71 Typical High $63.10 | Professional | 52 · Reduced service | $33.88 | $45.71 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $18.20 Typical High $25.12 | Professional | 53 · Discontinued | $13.80 | $18.20 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $69.18 Typical High $93.33 | Professional | 54 · Surgery only | $51.29 | $69.18 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $13.80 Typical High $19.05 | Professional | 55 · Aftercare only | $10.23 | $13.80 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $9.12 Typical High $12.59 | Professional | 56 · Pre-op care only | $6.76 | $9.12 | $12.59 |
BCBS Michigan Setting Facility Modifier None Typical Low $245.47 Median $251.19 Typical High $426.58 | Facility | None | $245.47 | $251.19 | $426.58 |
BCBS Michigan Setting Professional Modifier None Typical Low $43.65 Median $72.44 Typical High $165.96 | Professional | None | $43.65 | $72.44 | $165.96 |
CareSource Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $77.62 Typical High $144.54 | Professional | None | $47.86 | $77.62 | $144.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $77.62 Median $120.23 Typical High $2,884.03 | Facility | None | $77.62 | $120.23 | $2,884.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $66.07 Median $112.20 Typical High $141.25 | Professional | None | $66.07 | $112.20 | $141.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $33.11 Typical High $60.26 | Professional | 52 · Reduced service | $32.36 | $33.11 | $60.26 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.49 Typical High $23.99 | Professional | 53 · Discontinued | $13.18 | $13.49 | $23.99 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $50.12 Typical High $91.20 | Professional | 54 · Surgery only | $48.98 | $50.12 | $91.20 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $10.00 Typical High $18.20 | Professional | 55 · Aftercare only | $9.77 | $10.00 | $18.20 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.76 Typical High $12.02 | Professional | 56 · Pre-op care only | $6.46 | $6.76 | $12.02 |
Priority Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Priority Health Setting Professional Modifier None Typical Low $47.86 Median $70.79 Typical High $134.90 | Professional | None | $47.86 | $70.79 | $134.90 |
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 $63.10 Median $102.33 Typical High $158.49 | Professional | None | $63.10 | $102.33 | $158.49 |
Where Michigan sits
The same service costs 2.8 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· 32nd of 51
$102
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.