How much rates vary
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 $218.78 Typical High $245.47 | Facility | None | $61.66 | $218.78 | $245.47 |
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 $64.57 Median $125.89 Typical High $239.88 | Facility | None | $64.57 | $125.89 | $239.88 |
BCBS Michigan Setting Professional Modifier None Typical Low $16.22 Median $16.98 Typical High $16.98 | Professional | None | $16.22 | $16.98 | $16.98 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $15.14 Median $15.85 Typical High $15.85 | Professional | JW · Drug discarded | $15.14 | $15.85 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $117.49 | Professional | None | $60.26 | $60.26 | $117.49 |
Health Alliance Plan Setting Facility Modifier None Typical Low $128.82 Median $162.18 Typical High $245.47 | Facility | None | $128.82 | $162.18 | $245.47 |
Health Alliance Plan Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $83.18 | Professional | None | $60.26 | $79.43 | $83.18 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $39.81 | $39.81 | $39.81 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.85 | $15.85 | $15.85 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $11.75 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $7.94 |
Priority Health Setting Professional Modifier None Typical Low $60.26 Median $117.49 Typical High $117.49 | Professional | None | $60.26 | $117.49 | $117.49 |
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 $77.62 Median $85.11 Typical High $91.20 | Professional | None | $77.62 | $85.11 | $91.20 |
Where Michigan sits
The same service costs 2.6 times more in Hawaii than in Colorado. 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· 38th of 51
$61.66
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.