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 $331.13 Median $380.19 Typical High $501.19 | Facility | None | $331.13 | $380.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $512.86 | Professional | None | $338.84 | $389.05 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $223.87 Typical High $257.04 | Professional | 52 · Reduced service | $223.87 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | 53 · Discontinued | $89.13 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $67.61 Typical High $77.62 | Professional | 55 · Aftercare only | $66.07 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $51.29 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $51.29 |
Ambetter Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
BCBS Michigan Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $660.69 | Facility | None | $489.78 | $575.44 | $660.69 |
BCBS Michigan Setting Professional Modifier None Typical Low $549.54 Median $562.34 Typical High $660.69 | Professional | None | $549.54 | $562.34 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $562.34 | Professional | None | $457.09 | $457.09 | $562.34 |
Health Alliance Plan Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $1,174.90 | Facility | None | $275.42 | $436.52 | $1,174.90 |
Health Alliance Plan Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $501.19 | Professional | None | $245.47 | $331.13 | $501.19 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $199.53 Typical High $223.87 | Professional | 52 · Reduced service | $162.18 | $199.53 | $223.87 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $79.43 Typical High $89.13 | Professional | 53 · Discontinued | $66.07 | $79.43 | $89.13 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $60.26 Typical High $66.07 | Professional | 55 · Aftercare only | $48.98 | $60.26 | $66.07 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $39.81 Typical High $44.67 | Professional | 56 · Pre-op care only | $33.11 | $39.81 | $44.67 |
Priority Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $524.81 | Professional | None | $457.09 | $457.09 | $524.81 |
United Setting Facility Modifier None Typical Low $181.97 Median $239.88 Typical High $501.19 | Facility | None | $181.97 | $239.88 | $501.19 |
United Setting Professional Modifier None Typical Low $295.12 Median $389.05 Typical High $478.63 | Professional | None | $295.12 | $389.05 | $478.63 |
Where Michigan sits
The same service costs 2.1 times more in Wyoming than in Maryland. 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· 31st of 51
$389
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.