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 $8.51 Median $8.91 Typical High $6,918.31 | Facility | None | $8.51 | $8.91 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.71 Typical High $8.91 | Professional | None | $8.51 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.37 Typical High $4.47 | Professional | 52 · Reduced service | $4.27 | $4.37 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.74 Typical High $1.82 | Professional | 53 · Discontinued | $1.70 | $1.74 | $1.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $6.31 Median $6.46 Typical High $6.76 | Professional | 54 · Surgery only | $6.31 | $6.46 | $6.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.26 Median $1.29 Typical High $1.35 | Professional | 55 · Aftercare only | $1.26 | $1.29 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $0.87 Typical High $0.89 | Professional | 56 · Pre-op care only | $0.85 | $0.87 | $0.89 |
BCBS Michigan Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
BCBS Michigan Setting Professional Modifier None Typical Low $9.77 Median $10.23 Typical High $10.23 | Professional | None | $9.77 | $10.23 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $23.99 | Professional | None | $9.12 | $12.88 | $23.99 |
Health Alliance Plan Setting Facility Modifier None Typical Low $9.12 Median $28.18 Typical High $4,897.79 | Facility | None | $9.12 | $28.18 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $12.88 | Professional | None | $9.12 | $9.12 | $12.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | 52 · Reduced service | $4.57 | $4.57 | $4.57 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 53 · Discontinued | $1.82 | $1.82 | $1.82 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 54 · Surgery only | $6.92 | $6.92 | $6.92 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | 55 · Aftercare only | $1.38 | $1.38 | $1.38 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.91 Median $0.91 Typical High $0.91 | Professional | 56 · Pre-op care only | $0.91 | $0.91 | $0.91 |
Priority Health Setting Professional Modifier None Typical Low $7.24 Median $11.75 Typical High $21.88 | Professional | None | $7.24 | $11.75 | $21.88 |
United Setting Facility Modifier None Typical Low $131.83 Median $173.78 Typical High $363.08 | Facility | None | $131.83 | $173.78 | $363.08 |
United Setting Professional Modifier None Typical Low $8.32 Median $10.47 Typical High $12.02 | Professional | None | $8.32 | $10.47 | $12.02 |
Where Michigan sits
The same service costs 2.3 times more in Hawaii than in North Carolina. 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· 36th of 51
$9.77
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.