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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $47.86 | Professional | None | $41.69 | $46.77 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $22.91 Typical High $23.99 | Professional | 52 · Reduced service | $20.89 | $22.91 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.33 Typical High $9.55 | Professional | 53 · Discontinued | $8.32 | $9.33 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.92 Typical High $7.24 | Professional | 55 · Aftercare only | $6.31 | $6.92 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.68 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.17 | $4.68 | $4.79 |
BCBS Michigan Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
BCBS Michigan Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $35.48 | Professional | None | $32.36 | $33.88 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $54.95 | Professional | None | $7.59 | $7.59 | $54.95 |
Health Alliance Plan Setting Facility Modifier None Typical Low $44.67 Median $91.20 Typical High $100.00 | Facility | None | $44.67 | $91.20 | $100.00 |
Health Alliance Plan Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $45.71 | Professional | None | $30.20 | $38.90 | $45.71 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $22.91 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.91 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $9.12 | Professional | 53 · Discontinued | $8.91 | $8.91 | $9.12 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.61 Typical High $6.92 | Professional | 55 · Aftercare only | $6.61 | $6.61 | $6.92 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.47 Typical High $4.57 | Professional | 56 · Pre-op care only | $4.47 | $4.47 | $4.57 |
Priority Health Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $44.67 | Professional | None | $7.59 | $7.59 | $44.67 |
Where Michigan sits
The same service costs 204.2 times more in Montana than in Kansas. 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· 10th of 51
$41.69
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.