How much rates vary
Facilitymedian $110 · 10th to 90th $60 to $200Professionalmedian $62 · 10th to 90th $58 to $78
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 $61.66 Median $77.62 Typical High $181.97 | Facility | None | $61.66 | $77.62 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $6.17 |
BCBS Michigan Setting Facility Modifier None Typical Low $63.10 Median $123.03 Typical High $234.42 | Facility | None | $63.10 | $123.03 | $234.42 |
BCBS Michigan Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $61.66 | Professional | None | $58.88 | $61.66 | $61.66 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $54.95 Median $57.54 Typical High $57.54 | Professional | JW · Drug discarded | $54.95 | $57.54 | $57.54 |
CareSource Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $75.86 | Professional | None | $56.23 | $56.23 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $60.26 Typical High $60.26 | Professional | None | $38.90 | $60.26 | $60.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $41.69 Median $83.18 Typical High $177.83 | Facility | None | $41.69 | $83.18 | $177.83 |
Health Alliance Plan Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $79.43 | Professional | None | $57.54 | $60.26 | $79.43 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $11.48 | $11.48 | $11.48 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $8.71 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $5.75 |
Priority Health Setting Professional Modifier None Typical Low $38.90 Median $39.81 Typical High $60.26 | Professional | None | $38.90 | $39.81 | $60.26 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $66.07 | Professional | None | $56.23 | $63.10 | $66.07 |
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
$61.66
AK $74.13OK $58.88
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.