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 $102.33 Median $102.33 Typical High $104.71 | Facility | None | $102.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $104.71 Typical High $213.80 | Professional | None | $102.33 | $104.71 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $52.48 Typical High $107.15 | Professional | 52 · Reduced service | $50.12 | $52.48 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $43.65 | Professional | 53 · Discontinued | $20.42 | $20.89 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.49 Typical High $32.36 | Professional | 55 · Aftercare only | $15.14 | $15.49 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.47 Typical High $21.38 | Professional | 56 · Pre-op care only | $10.00 | $10.47 | $21.38 |
BCBS Michigan Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $162.18 Median $169.82 Typical High $169.82 | Professional | None | $162.18 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $144.54 | Professional | None | $102.33 | $117.49 | $144.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $104.71 Median $281.84 Typical High $302.00 | Facility | None | $104.71 | $281.84 | $302.00 |
Health Alliance Plan Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $134.90 | Professional | None | $85.11 | $102.33 | $134.90 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $51.29 | $52.48 | $52.48 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.42 | $20.89 | $20.89 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 55 · Aftercare only | $15.49 | $15.49 | $15.49 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $10.23 | $10.47 | $10.47 |
Priority Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | None | $102.33 | $102.33 | $117.49 |
United Setting Professional Modifier None Typical Low $95.50 Median $109.65 Typical High $134.90 | Professional | None | $95.50 | $109.65 | $134.90 |
Where Michigan sits
The same service costs 3.0 times more in Alaska than in West Virginia. 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· 41st of 51
$105
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.