How much rates vary
Facilitymedian $363 · 10th to 90th $178 to $617Professionalmedian $178 · 10th to 90th $170 to $224
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 $177.83 Median $467.74 Typical High $524.81 | Facility | None | $177.83 | $467.74 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 54 · Surgery only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $17.78 |
BCBS Michigan Setting Facility Modifier None Typical Low $181.97 Median $363.08 Typical High $691.83 | Facility | None | $181.97 | $363.08 | $691.83 |
BCBS Michigan Setting Professional Modifier None Typical Low $165.96 Median $177.83 Typical High $177.83 | Professional | None | $165.96 | $177.83 | $177.83 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $158.49 Median $165.96 Typical High $165.96 | Professional | JW · Drug discarded | $158.49 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $173.78 Typical High $173.78 | Professional | None | $117.49 | $173.78 | $173.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $186.21 Median $457.09 Typical High $524.81 | Facility | None | $186.21 | $457.09 | $524.81 |
Health Alliance Plan Setting Professional Modifier None Typical Low $169.82 Median $173.78 Typical High $229.09 | Professional | None | $169.82 | $173.78 | $229.09 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 54 · Surgery only | $125.89 | $125.89 | $125.89 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $25.12 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $16.98 |
Priority Health Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $173.78 | Professional | None | $117.49 | $120.23 | $173.78 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $194.98 | Professional | None | $162.18 | $181.97 | $194.98 |
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· 11th of 51
$178
AK $214AZ $166
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.