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 $107.15 Median $346.74 Typical High $389.05 | Facility | None | $107.15 | $346.74 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $10.72 |
BCBS Michigan Setting Facility Modifier None Typical Low $112.20 Median $218.78 Typical High $426.58 | Facility | None | $112.20 | $218.78 | $426.58 |
BCBS Michigan Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $83.18 | Professional | None | $77.62 | $83.18 | $83.18 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $74.13 Median $77.62 Typical High $77.62 | Professional | JW · Drug discarded | $74.13 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $630.96 | Professional | None | $104.71 | $104.71 | $630.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $144.54 Median $302.00 Typical High $389.05 | Facility | None | $144.54 | $302.00 | $389.05 |
Health Alliance Plan Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $141.25 | Professional | None | $104.71 | $123.03 | $141.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $18.62 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $12.30 |
Priority Health Setting Professional Modifier None Typical Low $104.71 Median $630.96 Typical High $630.96 | Professional | None | $104.71 | $630.96 | $630.96 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $141.25 | Professional | None | $120.23 | $134.90 | $141.25 |
Where Michigan sits
The same service costs 1.9 times more in Wyoming than in Vermont. 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· 31st of 51
$107
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.