How much rates vary
Facilitymedian $68 · 10th to 90th $32 to $110Professionalmedian $32 · 10th to 90th $31 to $40
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 $31.62 Median $89.13 Typical High $100.00 | Facility | None | $31.62 | $89.13 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $3.16 | $3.16 | $3.16 |
BCBS Michigan Setting Facility Modifier None Typical Low $33.88 Median $66.07 Typical High $125.89 | Facility | None | $33.88 | $66.07 | $125.89 |
BCBS Michigan Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $30.90 | Professional | None | $29.51 | $30.90 | $30.90 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $27.54 Median $29.51 Typical High $29.51 | Professional | JW · Drug discarded | $27.54 | $29.51 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | None | $30.90 | $30.90 | $31.62 |
Health Alliance Plan Setting Facility Modifier None Typical Low $38.02 Median $83.18 Typical High $100.00 | Facility | None | $38.02 | $83.18 | $100.00 |
Health Alliance Plan Setting Professional Modifier None Typical Low $30.90 Median $31.62 Typical High $40.74 | Professional | None | $30.90 | $31.62 | $40.74 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.85 | $15.85 | $15.85 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.31 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $4.79 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $3.16 | $3.16 | $3.16 |
Priority Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | None | $30.90 | $30.90 | $31.62 |
United Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $36.31 | Professional | None | $30.90 | $34.67 | $36.31 |
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· 18th of 51
$31.62
AK $38.90CA $30.90
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.