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 $58.88 Median $114.82 Typical High $2,884.03 | Facility | None | $58.88 | $114.82 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $93.33 Typical High $114.82 | Professional | None | $57.54 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $41.69 Typical High $57.54 | Professional | 52 · Reduced service | $28.84 | $41.69 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $16.60 Typical High $22.91 | Professional | 53 · Discontinued | $11.48 | $16.60 | $22.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $63.10 Typical High $87.10 | Professional | 54 · Surgery only | $43.65 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $12.59 Typical High $17.38 | Professional | 55 · Aftercare only | $8.71 | $12.59 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $8.51 Typical High $11.48 | Professional | 56 · Pre-op care only | $5.75 | $8.51 | $11.48 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $107.15 Typical High $177.83 | Professional | None | $23.99 | $107.15 | $177.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $933.25 Median $1,258.93 Typical High $2,818.38 | Facility | None | $933.25 | $1,258.93 | $2,818.38 |
BCBS Michigan Setting Professional Modifier None Typical Low $7.94 Median $43.65 Typical High $46.77 | Professional | None | $7.94 | $43.65 | $46.77 |
CareSource Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $131.83 | Professional | None | $79.43 | $109.65 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $102.33 Typical High $173.78 | Professional | None | $45.71 | $102.33 | $173.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $58.88 Median $275.42 Typical High $2,041.74 | Facility | None | $58.88 | $275.42 | $2,041.74 |
Health Alliance Plan Setting Professional Modifier None Typical Low $56.23 Median $109.65 Typical High $144.54 | Professional | None | $56.23 | $109.65 | $144.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $39.81 Typical High $54.95 | Professional | 52 · Reduced service | $28.18 | $39.81 | $54.95 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $16.22 Typical High $21.88 | Professional | 53 · Discontinued | $11.22 | $16.22 | $21.88 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $60.26 Typical High $81.28 | Professional | 54 · Surgery only | $41.69 | $60.26 | $81.28 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $12.02 Typical High $16.22 | Professional | 55 · Aftercare only | $8.32 | $12.02 | $16.22 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $8.13 Typical High $10.96 | Professional | 56 · Pre-op care only | $5.62 | $8.13 | $10.96 |
Priority Health Setting Professional Modifier None Typical Low $41.69 Median $91.20 Typical High $158.49 | Professional | None | $41.69 | $91.20 | $158.49 |
United Setting Facility Modifier None Typical Low $724.44 Median $1,258.93 Typical High $1,949.84 | Facility | None | $724.44 | $1,258.93 | $1,949.84 |
United Setting Professional Modifier None Typical Low $54.95 Median $117.49 Typical High $162.18 | Professional | None | $54.95 | $117.49 | $162.18 |
Where Michigan sits
The same service costs 2.5 times more in North Carolina than in Florida. 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· 23rd 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.