How much rates vary
Facilitymedian $240 · 10th to 90th $195 to $603Professionalmedian $195 · 10th to 90th $191 to $245
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 $194.98 Median $204.17 Typical High $602.56 | Facility | None | $194.98 | $204.17 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $19.50 |
Ambetter Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Ambetter Setting Professional Modifier JW · Drug discarded Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | JW · Drug discarded | $186.21 | $186.21 | $186.21 |
BCBS Michigan Setting Facility Modifier None Typical Low $194.98 Median $257.04 Typical High $676.08 | Facility | None | $194.98 | $257.04 | $676.08 |
BCBS Michigan Setting Professional Modifier None Typical Low $186.21 Median $194.98 Typical High $194.98 | Professional | None | $186.21 | $194.98 | $194.98 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $173.78 Median $181.97 Typical High $181.97 | Professional | JW · Drug discarded | $173.78 | $181.97 | $181.97 |
CareSource Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $245.47 | Professional | None | $181.97 | $181.97 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $190.55 | Professional | None | $158.49 | $190.55 | $190.55 |
Health Alliance Plan Setting Facility Modifier None Typical Low $194.98 Median $275.42 Typical High $562.34 | Facility | None | $194.98 | $275.42 | $562.34 |
Health Alliance Plan Setting Professional Modifier None Typical Low $190.55 Median $194.98 Typical High $251.19 | Professional | None | $190.55 | $194.98 | $251.19 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $95.50 | $95.50 | $95.50 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $28.84 | $28.84 | $28.84 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $19.50 |
Priority Health Setting Professional Modifier None Typical Low $158.49 Median $162.18 Typical High $190.55 | Professional | None | $158.49 | $162.18 | $190.55 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $218.78 | Professional | None | $186.21 | $208.93 | $218.78 |
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· 10th of 51
$195
AK $234MA $191
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.