How much rates vary
Facilitymedian $4 · 10th to 90th $2 to $7Professionalmedian $2 · 10th to 90th $2 to $3
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 $2.04 Median $5.01 Typical High $5.62 | Facility | None | $2.04 | $5.01 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | None | $2.04 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | 52 · Reduced service | $1.02 | $1.02 | $1.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.41 Typical High $0.41 | Professional | 53 · Discontinued | $0.41 | $0.41 | $0.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.31 Typical High $0.31 | Professional | 55 · Aftercare only | $0.31 | $0.31 | $0.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.21 | $0.21 | $0.21 |
BCBS Michigan Setting Facility Modifier None Typical Low $2.14 Median $4.17 Typical High $7.94 | Facility | None | $2.14 | $4.17 | $7.94 |
BCBS Michigan Setting Professional Modifier None Typical Low $1.74 Median $1.82 Typical High $1.82 | Professional | None | $1.74 | $1.82 | $1.82 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $1.62 Median $1.74 Typical High $1.74 | Professional | JW · Drug discarded | $1.62 | $1.74 | $1.74 |
Cigna Setting Professional Modifier None Typical Low $1.00 Median $2.00 Typical High $2.00 | Professional | None | $1.00 | $2.00 | $2.00 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2.14 Median $5.01 Typical High $5.89 | Facility | None | $2.14 | $5.01 | $5.89 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1.82 Median $2.00 Typical High $2.63 | Professional | None | $1.82 | $2.00 | $2.63 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $0.91 Median $0.91 Typical High $0.91 | Professional | 52 · Reduced service | $0.91 | $0.91 | $0.91 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.36 Median $0.36 Typical High $0.36 | Professional | 53 · Discontinued | $0.36 | $0.36 | $0.36 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.27 Median $0.27 Typical High $0.27 | Professional | 55 · Aftercare only | $0.27 | $0.27 | $0.27 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 56 · Pre-op care only | $0.18 | $0.18 | $0.18 |
Priority Health Setting Professional Modifier None Typical Low $1.00 Median $1.12 Typical High $2.00 | Professional | None | $1.00 | $1.12 | $2.00 |
United Setting Professional Modifier None Typical Low $1.78 Median $1.95 Typical High $2.09 | Professional | None | $1.78 | $1.95 | $2.09 |
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· 47th of 51
$1.95
AK $2.51OK $1.78
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.