How much rates vary
Facilitymedian $15 · 10th to 90th $6 to $29Professionalmedian $8 · 10th to 90th $7 to $10
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 $8.32 Median $8.51 Typical High $23.44 | Facility | None | $8.32 | $8.51 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | 52 · Reduced service | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | 53 · Discontinued | $1.66 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | 55 · Aftercare only | $1.26 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | 56 · Pre-op care only | $0.83 | $0.83 | $0.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $8.71 Median $16.98 Typical High $32.36 | Facility | None | $8.71 | $16.98 | $32.36 |
BCBS Michigan Setting Professional Modifier None Typical Low $7.59 Median $7.94 Typical High $7.94 | Professional | None | $7.59 | $7.94 | $7.94 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $7.08 Median $7.59 Typical High $7.59 | Professional | JW · Drug discarded | $7.08 | $7.59 | $7.59 |
CareSource Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $10.23 | Professional | None | $7.59 | $7.59 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $8.13 Typical High $8.13 | Professional | None | $4.68 | $8.13 | $8.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $5.62 Median $17.38 Typical High $28.18 | Facility | None | $5.62 | $17.38 | $28.18 |
Health Alliance Plan Setting Professional Modifier None Typical Low $7.41 Median $8.13 Typical High $10.72 | Professional | None | $7.41 | $8.13 | $10.72 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 52 · Reduced service | $3.72 | $3.72 | $3.72 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | 53 · Discontinued | $1.48 | $1.48 | $1.48 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | 55 · Aftercare only | $1.12 | $1.12 | $1.12 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.74 Median $0.74 Typical High $0.74 | Professional | 56 · Pre-op care only | $0.74 | $0.74 | $0.74 |
Priority Health Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $8.13 | Professional | None | $4.68 | $4.68 | $8.13 |
United Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.41 | Professional | None | $7.24 | $7.24 | $7.41 |
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· 45th of 51
$7.94
AK $10.72NC $7.24
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.