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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $302.00 Typical High $302.00 | Professional | None | $295.12 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $147.91 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $58.88 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | 55 · Aftercare only | $44.67 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $29.51 | $30.20 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
BCBS Michigan Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
BCBS Michigan Setting Professional Modifier None Typical Low $194.98 Median $204.17 Typical High $204.17 | Professional | None | $194.98 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $338.84 | Professional | None | $15.49 | $15.49 | $338.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $275.42 Median $549.54 Typical High $602.56 | Facility | None | $275.42 | $549.54 | $602.56 |
Health Alliance Plan Setting Professional Modifier None Typical Low $204.17 Median $281.84 Typical High $288.40 | Professional | None | $204.17 | $281.84 | $288.40 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $138.04 | $144.54 | $144.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $54.95 | $57.54 | $57.54 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | 55 · Aftercare only | $41.69 | $42.66 | $42.66 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $28.84 Typical High $28.84 | Professional | 56 · Pre-op care only | $27.54 | $28.84 | $28.84 |
Priority Health Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $269.15 | Professional | None | $15.49 | $15.49 | $269.15 |
United Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Where Michigan sits
The same service costs 6.3 times more in Alaska than in New York. 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· 3rd of 51
$282
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.