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 $2,951.21 Median $8,128.31 Typical High $9,120.11 | Facility | None | $2,951.21 | $8,128.31 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 55 · Aftercare only | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $295.12 | $295.12 | $295.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,019.95 Median $6,025.60 Typical High $11,481.54 | Facility | None | $3,019.95 | $6,025.60 | $11,481.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $2,754.23 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,754.23 | $2,951.21 | $2,951.21 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $2,630.27 Median $2,754.23 Typical High $2,754.23 | Professional | JW · Drug discarded | $2,630.27 | $2,754.23 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,344.23 | $2,884.03 | $2,884.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3,090.30 Median $7,762.47 Typical High $9,120.11 | Facility | None | $3,090.30 | $7,762.47 | $9,120.11 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,801.89 | Professional | None | $2,884.03 | $2,884.03 | $3,801.89 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,445.44 | $1,445.44 | $1,445.44 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $575.44 | $575.44 | $575.44 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 55 · Aftercare only | $436.52 | $436.52 | $436.52 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $288.40 | $288.40 | $288.40 |
Priority Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,398.83 Typical High $2,884.03 | Professional | None | $2,344.23 | $2,398.83 | $2,884.03 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $2,818.38 Median $3,162.28 Typical High $3,311.31 | Professional | None | $2,818.38 | $3,162.28 | $3,311.31 |
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· 15th of 51
$2,951
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.