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 $162.18 Median $162.18 Typical High $165.96 | Facility | None | $162.18 | $162.18 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $169.82 Typical High $169.82 | Professional | None | $162.18 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $81.28 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $32.36 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $23.99 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.22 | $16.98 | $16.98 |
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 $173.78 Median $186.21 Typical High $186.21 | Professional | None | $173.78 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $537.03 Median $630.96 Typical High $724.44 | Facility | None | $537.03 | $630.96 | $724.44 |
Health Alliance Plan Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $724.44 | Professional | None | $213.80 | $281.84 | $724.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $107.15 | $109.65 | $109.65 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
Priority Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $5,754.40 | Facility | None | $2,137.96 | $2,754.23 | $5,754.40 |
United Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $239.88 | Professional | None | $56.23 | $77.62 | $239.88 |
Where Michigan sits
The same service costs 7.6 times more in Colorado than in Rhode Island. 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
$186
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.