How much rates vary
Facilitymedian $81 · 10th to 90th $38 to $135Professionalmedian $38 · 10th to 90th $38 to $49
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 $38.90 Median $104.71 Typical High $117.49 | Facility | None | $38.90 | $104.71 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $3.89 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
BCBS Michigan Setting Facility Modifier None Typical Low $39.81 Median $77.62 Typical High $147.91 | Facility | None | $39.81 | $77.62 | $147.91 |
BCBS Michigan Setting Professional Modifier None Typical Low $36.31 Median $38.02 Typical High $38.02 | Professional | None | $36.31 | $38.02 | $38.02 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $33.88 Median $36.31 Typical High $36.31 | Professional | JW · Drug discarded | $33.88 | $36.31 | $36.31 |
CareSource Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $48.98 | Professional | None | $36.31 | $36.31 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | None | $38.02 | $38.02 | $38.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $42.66 Median $102.33 Typical High $117.49 | Facility | None | $42.66 | $102.33 | $117.49 |
Health Alliance Plan Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $50.12 | Professional | None | $38.02 | $38.02 | $50.12 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $19.05 | $19.05 | $19.05 |
Health Alliance Plan 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 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $5.75 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | 56 · Pre-op care only | $3.80 | $3.80 | $3.80 |
Priority Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | None | $38.02 | $38.02 | $38.90 |
United Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
United Setting Professional Modifier None Typical Low $37.15 Median $40.74 Typical High $43.65 | Professional | None | $37.15 | $40.74 | $43.65 |
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· 38th of 51
$38.02
AK $47.86HI $37.15
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.