How much rates vary
Facilitymedian $339 · 10th to 90th $209 to $661Professionalmedian $209 · 10th to 90th $204 to $269
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 $213.80 Median $575.44 Typical High $645.65 | Facility | None | $213.80 | $575.44 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
BCBS Michigan Setting Facility Modifier None Typical Low $208.93 Median $281.84 Typical High $724.44 | Facility | None | $208.93 | $281.84 | $724.44 |
BCBS Michigan Setting Professional Modifier None Typical Low $199.53 Median $208.93 Typical High $208.93 | Professional | None | $199.53 | $208.93 | $208.93 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $186.21 Median $194.98 Typical High $194.98 | Professional | JW · Drug discarded | $186.21 | $194.98 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | None | $204.17 | $204.17 | $213.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $229.09 Median $549.54 Typical High $645.65 | Facility | None | $229.09 | $549.54 | $645.65 |
Health Alliance Plan Setting Professional Modifier None Typical Low $204.17 Median $208.93 Typical High $275.42 | Professional | None | $204.17 | $208.93 | $275.42 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $30.90 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $20.89 |
Priority Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | None | $204.17 | $204.17 | $213.80 |
United Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $239.88 | Professional | None | $199.53 | $223.87 | $239.88 |
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· 21st of 51
$209
AK $251NJ $204
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.