How much rates vary
Facilitymedian $56 · 10th to 90th $37 to $117Professionalmedian $37 · 10th to 90th $36 to $47
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 $37.15 Median $104.71 Typical High $117.49 | Facility | None | $37.15 | $104.71 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 55 · Aftercare only | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 56 · Pre-op care only | $3.72 | $3.72 | $3.72 |
BCBS Michigan Setting Facility Modifier None Typical Low $37.15 Median $50.12 Typical High $128.82 | Facility | None | $37.15 | $50.12 | $128.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $37.15 | Professional | None | $35.48 | $37.15 | $37.15 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $33.11 Median $34.67 Typical High $34.67 | Professional | JW · Drug discarded | $33.11 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $44.67 | Professional | None | $36.31 | $36.31 | $44.67 |
Health Alliance Plan Setting Facility Modifier None Typical Low $48.98 Median $97.72 Typical High $117.49 | Facility | None | $48.98 | $97.72 | $117.49 |
Health Alliance Plan Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $48.98 | Professional | None | $36.31 | $37.15 | $48.98 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.41 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 55 · Aftercare only | $5.62 | $5.62 | $5.62 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 56 · Pre-op care only | $3.72 | $3.72 | $3.72 |
Priority Health Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $44.67 | Professional | None | $36.31 | $44.67 | $44.67 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $42.66 | Professional | None | $36.31 | $40.74 | $42.66 |
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· 20th of 51
$37.15
AK $50.12GA $36.31
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.