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 $2,630.27 Median $6,918.31 Typical High $7,762.47 | Facility | None | $2,630.27 | $6,918.31 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 53 · Discontinued | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 56 · Pre-op care only | $263.03 | $263.03 | $263.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,570.40 Median $3,162.28 Typical High $9,120.11 | Facility | None | $2,570.40 | $3,162.28 | $9,120.11 |
BCBS Michigan Setting Professional Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,454.71 | $2,570.40 | $2,570.40 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $2,290.87 Median $2,454.71 Typical High $2,454.71 | Professional | JW · Drug discarded | $2,290.87 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,570.40 Typical High $2,570.40 | Professional | None | $1,995.26 | $2,570.40 | $2,570.40 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,754.23 Median $6,918.31 Typical High $7,762.47 | Facility | None | $2,754.23 | $6,918.31 | $7,762.47 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $3,388.44 | Professional | None | $2,511.89 | $2,570.40 | $3,388.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,258.93 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $501.19 | $501.19 | $501.19 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $1,905.46 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $380.19 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $251.19 | $251.19 | $251.19 |
Priority Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,041.74 Typical High $2,570.40 | Professional | None | $1,995.26 | $2,041.74 | $2,570.40 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $2,884.03 | Professional | None | $2,454.71 | $2,691.53 | $2,884.03 |
Where Michigan sits
Rates are fairly even across states for this service. 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· 20th of 51
$2,570
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.