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 $29.51 Median $81.28 Typical High $91.20 | Facility | None | $29.51 | $81.28 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | 56 · Pre-op care only | $2.95 | $2.95 | $2.95 |
BCBS Michigan Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
BCBS Michigan Setting Professional Modifier None Typical Low $31.62 Median $33.11 Typical High $33.11 | Professional | None | $31.62 | $33.11 | $33.11 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $29.51 Median $30.90 Typical High $30.90 | Professional | JW · Drug discarded | $29.51 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $35.48 | Professional | None | $31.62 | $31.62 | $35.48 |
Health Alliance Plan Setting Facility Modifier None Typical Low $33.11 Median $81.28 Typical High $95.50 | Facility | None | $33.11 | $81.28 | $95.50 |
Health Alliance Plan Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $43.65 | Professional | None | $29.51 | $32.36 | $43.65 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $14.79 | $14.79 | $14.79 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $5.89 | $5.89 | $5.89 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $4.47 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | 56 · Pre-op care only | $2.95 | $2.95 | $2.95 |
Priority Health Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | None | $31.62 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $36.31 | Professional | None | $30.90 | $33.88 | $36.31 |
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· 7th of 51
$33.11
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.