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 $117.49 Median $117.49 Typical High $331.13 | Facility | None | $117.49 | $117.49 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $17.38 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $11.75 |
BCBS Michigan Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
BCBS Michigan Setting Professional Modifier None Typical Low $177.83 Median $186.21 Typical High $186.21 | Professional | None | $177.83 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $204.17 | Professional | None | $112.20 | $131.83 | $204.17 |
Health Alliance Plan Setting Facility Modifier None Typical Low $123.03 Median $346.74 Typical High $380.19 | Facility | None | $123.03 | $346.74 | $380.19 |
Health Alliance Plan Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $138.04 | Professional | None | $123.03 | $123.03 | $138.04 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $60.26 | $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 $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $18.20 | $18.62 | $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 Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $204.17 | Professional | None | $112.20 | $131.83 | $204.17 |
United Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $177.83 | Professional | None | $125.89 | $144.54 | $177.83 |
Where Michigan sits
The same service costs 2.2 times more in Alaska than in Arizona. 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· 34th of 51
$123
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.