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 $48.98 Median $48.98 Typical High $51.29 | Facility | None | $48.98 | $48.98 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $53.70 | Professional | None | $35.48 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $24.55 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $9.77 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.59 Typical High $7.59 | Professional | 55 · Aftercare only | $7.24 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.13 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.90 | $5.13 | $5.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $64.57 Median $158.49 Typical High $302.00 | Facility | None | $64.57 | $158.49 | $302.00 |
BCBS Michigan Setting Professional Modifier None Typical Low $51.29 Median $53.70 Typical High $53.70 | Professional | None | $51.29 | $53.70 | $53.70 |
CareSource Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $28.84 Typical High $35.48 | Professional | None | $25.70 | $28.84 | $35.48 |
Health Alliance Plan Setting Facility Modifier None Typical Low $40.74 Median $77.62 Typical High $85.11 | Facility | None | $40.74 | $77.62 | $85.11 |
Health Alliance Plan Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $54.95 | Professional | None | $28.84 | $38.90 | $54.95 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 55 · Aftercare only | $6.17 | $6.17 | $6.17 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $4.07 | $4.07 | $4.07 |
Priority Health Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Priority Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $43.65 | Professional | None | $28.84 | $28.84 | $43.65 |
United Setting Professional Modifier None Typical Low $20.42 Median $26.30 Typical High $41.69 | Professional | None | $20.42 | $26.30 | $41.69 |
Where Michigan sits
The same service costs 2.2 times more in Hawaii than in Utah. 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· 22nd of 51
$40.74
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.