How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $15.85 Median $15.85 Typical High $16.22 | Facility | None | $15.85 | $15.85 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $16.22 Typical High $16.60 | Professional | None | $12.30 | $16.22 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $7.94 Typical High $8.32 | Professional | 52 · Reduced service | $6.17 | $7.94 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $3.24 Typical High $3.31 | Professional | 53 · Discontinued | $2.45 | $3.24 | $3.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $2.40 Typical High $2.45 | Professional | 55 · Aftercare only | $1.82 | $2.40 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.62 Typical High $1.66 | Professional | 56 · Pre-op care only | $1.23 | $1.62 | $1.66 |
BCBS Michigan Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
BCBS Michigan Setting Professional Modifier None Typical Low $21.38 Median $22.91 Typical High $22.91 | Professional | None | $21.38 | $22.91 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $12.30 Typical High $45.71 | Professional | None | $9.55 | $12.30 | $45.71 |
Health Alliance Plan Setting Facility Modifier None Typical Low $14.79 Median $91.20 Typical High $100.00 | Facility | None | $14.79 | $91.20 | $100.00 |
Health Alliance Plan Setting Professional Modifier None Typical Low $13.49 Median $14.79 Typical High $44.67 | Professional | None | $13.49 | $14.79 | $44.67 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $7.41 Typical High $7.41 | Professional | 52 · Reduced service | $6.17 | $7.41 | $7.41 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $2.45 | $2.95 | $2.95 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $2.24 Typical High $2.24 | Professional | 55 · Aftercare only | $1.86 | $2.24 | $2.24 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.48 Typical High $1.48 | Professional | 56 · Pre-op care only | $1.23 | $1.48 | $1.48 |
Priority Health Setting Professional Modifier None Typical Low $9.55 Median $10.47 Typical High $21.38 | Professional | None | $9.55 | $10.47 | $21.38 |
United Setting Facility Modifier None Typical Low $38.02 Median $50.12 Typical High $104.71 | Facility | None | $38.02 | $50.12 | $104.71 |
United Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $109.65 | Professional | None | $12.59 | $15.85 | $109.65 |
Where Michigan sits
The same service costs 43.7 times more in Hawaii 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· 20th of 51
$16.60
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.