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 $123.03 Median $123.03 Typical High $128.82 | Facility | None | $123.03 | $123.03 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $147.91 | Professional | None | $97.72 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $53.70 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $21.38 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $15.85 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.30 Typical High $12.30 | Professional | 56 · Pre-op care only | $10.72 | $12.30 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
BCBS Michigan Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $1,445.44 | Facility | None | $831.76 | $831.76 | $1,445.44 |
BCBS Michigan Setting Professional Modifier None Typical Low $93.33 Median $144.54 Typical High $144.54 | Professional | None | $93.33 | $144.54 | $144.54 |
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 $83.18 Median $109.65 Typical High $331.13 | Professional | None | $83.18 | $109.65 | $331.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $125.89 Median $1,230.27 Typical High $6,606.93 | Facility | None | $125.89 | $1,230.27 | $6,606.93 |
Health Alliance Plan Setting Professional Modifier None Typical Low $114.82 Median $123.03 Typical High $165.96 | Professional | None | $114.82 | $123.03 | $165.96 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $18.62 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $18.62 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $12.30 |
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 $83.18 Median $109.65 Typical High $288.40 | Professional | None | $83.18 | $109.65 | $288.40 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $5,248.07 | Facility | None | $602.56 | $1,230.27 | $5,248.07 |
United Setting Professional Modifier None Typical Low $117.49 Median $128.82 Typical High $173.78 | Professional | None | $117.49 | $128.82 | $173.78 |
Where Michigan sits
The same service costs 7.9 times more in Kansas than in New York. 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· 40th of 51
$132
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.