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 $109.65 Median $154.88 Typical High $4,897.79 | Facility | None | $109.65 | $154.88 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $165.96 | Professional | None | $109.65 | $125.89 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $58.88 Typical High $79.43 | Professional | 52 · Reduced service | $54.95 | $58.88 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.44 Typical High $31.62 | Professional | 53 · Discontinued | $21.88 | $23.44 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $87.10 Typical High $117.49 | Professional | 54 · Surgery only | $83.18 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $17.38 Typical High $23.99 | Professional | 55 · Aftercare only | $16.60 | $17.38 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $11.75 Typical High $15.85 | Professional | 56 · Pre-op care only | $10.96 | $11.75 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $173.78 | Professional | None | $120.23 | $173.78 | $173.78 |
BCBS Michigan Setting Facility Modifier None Typical Low $165.96 Median $169.82 Typical High $295.12 | Facility | None | $165.96 | $169.82 | $295.12 |
BCBS Michigan Setting Professional Modifier None Typical Low $16.22 Median $95.50 Typical High $154.88 | Professional | None | $16.22 | $95.50 | $154.88 |
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 $81.28 Median $125.89 Typical High $213.80 | Professional | None | $81.28 | $125.89 | $213.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $70.79 Median $194.98 Typical High $2,884.03 | Facility | None | $70.79 | $194.98 | $2,884.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $177.83 | Professional | None | $107.15 | $138.04 | $177.83 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $56.23 Typical High $77.62 | Professional | 52 · Reduced service | $53.70 | $56.23 | $77.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $30.90 | Professional | 53 · Discontinued | $21.38 | $22.39 | $30.90 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $83.18 Typical High $114.82 | Professional | 54 · Surgery only | $81.28 | $83.18 | $114.82 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.98 Typical High $23.44 | Professional | 55 · Aftercare only | $16.22 | $16.98 | $23.44 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $11.22 Typical High $15.49 | Professional | 56 · Pre-op care only | $10.72 | $11.22 | $15.49 |
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 $69.18 Median $117.49 Typical High $186.21 | Professional | None | $69.18 | $117.49 | $186.21 |
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 $109.65 Median $131.83 Typical High $162.18 | Professional | None | $109.65 | $131.83 | $162.18 |
Where Michigan sits
The same service costs 3.7 times more in Alaska 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· 37th of 51
$126
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.