How much rates vary
Facilitymedian $309 · 10th to 90th $148 to $513Professionalmedian $148 · 10th to 90th $141 to $186
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 $147.91 Median $389.05 Typical High $436.52 | Facility | None | $147.91 | $389.05 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $14.79 |
Ambetter Setting Professional Modifier JW · Drug discarded Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | JW · Drug discarded | $138.04 | $138.04 | $138.04 |
BCBS Michigan Setting Facility Modifier None Typical Low $151.36 Median $302.00 Typical High $575.44 | Facility | None | $151.36 | $302.00 | $575.44 |
BCBS Michigan Setting Professional Modifier None Typical Low $138.04 Median $147.91 Typical High $147.91 | Professional | None | $138.04 | $147.91 | $147.91 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $131.83 Median $138.04 Typical High $138.04 | Professional | JW · Drug discarded | $131.83 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $144.54 | Professional | None | $117.49 | $144.54 | $144.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $158.49 Median $389.05 Typical High $436.52 | Facility | None | $158.49 | $389.05 | $436.52 |
Health Alliance Plan Setting Professional Modifier None Typical Low $141.25 Median $144.54 Typical High $190.55 | Professional | None | $141.25 | $144.54 | $190.55 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $21.38 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $14.13 |
Priority Health Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $144.54 | Professional | None | $117.49 | $120.23 | $144.54 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $162.18 | Professional | None | $138.04 | $151.36 | $162.18 |
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· 14th of 51
$148
AK $178TN $145
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.