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 $31.62 Median $48.98 Typical High $4,897.79 | Facility | None | $31.62 | $48.98 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $46.77 Typical High $54.95 | Professional | None | $31.62 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $22.39 Typical High $25.70 | Professional | 52 · Reduced service | $15.85 | $22.39 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $8.51 Typical High $10.23 | Professional | 53 · Discontinued | $6.46 | $8.51 | $10.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $23.99 Median $33.88 Typical High $38.90 | Professional | 54 · Surgery only | $23.99 | $33.88 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $6.76 Typical High $7.76 | Professional | 55 · Aftercare only | $4.79 | $6.76 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $4.47 Typical High $5.13 | Professional | 56 · Pre-op care only | $3.16 | $4.47 | $5.13 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $46.77 Median $58.88 Typical High $144.54 | Facility | None | $46.77 | $58.88 | $144.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $7.24 Median $26.30 Typical High $83.18 | Professional | None | $7.24 | $26.30 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $95.50 | Professional | None | $46.77 | $46.77 | $95.50 |
Health Alliance Plan Setting Facility Modifier None Typical Low $20.42 Median $63.10 Typical High $147.91 | Facility | None | $20.42 | $63.10 | $147.91 |
Health Alliance Plan Setting Professional Modifier None Typical Low $33.88 Median $52.48 Typical High $69.18 | Professional | None | $33.88 | $52.48 | $69.18 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $19.50 Typical High $26.30 | Professional | 52 · Reduced service | $16.98 | $19.50 | $26.30 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.94 Typical High $10.47 | Professional | 53 · Discontinued | $6.76 | $7.94 | $10.47 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $25.70 Median $29.51 Typical High $39.81 | Professional | 54 · Surgery only | $25.70 | $29.51 | $39.81 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.89 Typical High $7.94 | Professional | 55 · Aftercare only | $5.13 | $5.89 | $7.94 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.98 Typical High $5.25 | Professional | 56 · Pre-op care only | $3.39 | $3.98 | $5.25 |
Priority Health Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | None | $46.77 | $46.77 | $57.54 |
United Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $1,258.93 | Facility | None | $89.13 | $177.83 | $1,258.93 |
United Setting Professional Modifier None Typical Low $32.36 Median $48.98 Typical High $66.07 | Professional | None | $32.36 | $48.98 | $66.07 |
Where Michigan sits
The same service costs 2.8 times more in Alaska than in California. 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· 42nd of 51
$48.98
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.