How much rates vary
Facilitymedian $525 · 10th to 90th $282 to $912Professionalmedian $282 · 10th to 90th $275 to $363
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 $288.40 Median $302.00 Typical High $870.96 | Facility | None | $288.40 | $302.00 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 55 · Aftercare only | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 56 · Pre-op care only | $28.84 | $28.84 | $28.84 |
BCBS Michigan Setting Facility Modifier None Typical Low $302.00 Median $588.84 Typical High $1,122.02 | Facility | None | $302.00 | $588.84 | $1,122.02 |
BCBS Michigan Setting Professional Modifier None Typical Low $269.15 Median $281.84 Typical High $281.84 | Professional | None | $269.15 | $281.84 | $281.84 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $251.19 Median $269.15 Typical High $269.15 | Professional | JW · Drug discarded | $251.19 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $281.84 Typical High $281.84 | Professional | None | $169.82 | $281.84 | $281.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $812.83 | Facility | None | $251.19 | $389.05 | $812.83 |
Health Alliance Plan Setting Professional Modifier None Typical Low $275.42 Median $281.84 Typical High $371.54 | Professional | None | $275.42 | $281.84 | $371.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $54.95 | $54.95 | $54.95 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $41.69 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $27.54 | $27.54 | $27.54 |
Priority Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $281.84 | Professional | None | $169.82 | $169.82 | $281.84 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $316.23 | Professional | None | $269.15 | $302.00 | $316.23 |
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· 40th of 51
$282
AK $339NC $275
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.