How much rates vary
Facilitymedian $170 · 10th to 90th $60 to $295Professionalmedian $59 · 10th to 90th $39 to $76
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 $38.02 Median $38.90 Typical High $63.10 | Facility | None | $38.02 | $38.90 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $53.70 Typical High $61.66 | Professional | None | $38.02 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $26.30 Typical High $30.90 | Professional | 52 · Reduced service | $19.05 | $26.30 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $7.94 Typical High $9.33 | Professional | 55 · Aftercare only | $5.75 | $7.94 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $5.25 Typical High $6.17 | Professional | 56 · Pre-op care only | $3.80 | $5.25 | $6.17 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
BCBS Michigan Setting Facility Modifier None Typical Low $70.79 Median $173.78 Typical High $323.59 | Facility | None | $70.79 | $173.78 | $323.59 |
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 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $72.44 | Professional | None | $60.26 | $60.26 | $72.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $39.81 Median $169.82 Typical High $186.21 | Facility | None | $39.81 | $169.82 | $186.21 |
Health Alliance Plan Setting Professional Modifier None Typical Low $39.81 Median $63.10 Typical High $83.18 | Professional | None | $39.81 | $63.10 | $83.18 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $23.44 Typical High $31.62 | Professional | 52 · Reduced service | $19.95 | $23.44 | $31.62 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $7.08 Typical High $9.55 | Professional | 55 · Aftercare only | $6.03 | $7.08 | $9.55 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.68 Typical High $6.31 | Professional | 56 · Pre-op care only | $3.98 | $4.68 | $6.31 |
Priority Health Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $72.44 | Professional | None | $60.26 | $60.26 | $72.44 |
United Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $371.54 | Facility | None | $138.04 | $177.83 | $371.54 |
United Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $74.13 | Professional | None | $42.66 | $57.54 | $74.13 |
Where Michigan sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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· 33rd of 51
$58.88
AK $112KY $47.86
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.