How much rates vary
Facilitymedian $93 · 10th to 90th $59 to $191Professionalmedian $60 · 10th to 90th $59 to $76
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 $60.26 Median $169.82 Typical High $190.55 | Facility | None | $60.26 | $169.82 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 55 · Aftercare only | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $6.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $58.88 Median $79.43 Typical High $208.93 | Facility | None | $58.88 | $79.43 | $208.93 |
BCBS Michigan Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $58.88 | Professional | None | $56.23 | $58.88 | $58.88 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $52.48 Median $56.23 Typical High $56.23 | Professional | JW · Drug discarded | $52.48 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $83.18 | Professional | None | $58.88 | $58.88 | $83.18 |
Health Alliance Plan Setting Facility Modifier None Typical Low $89.13 Median $158.49 Typical High $190.55 | Facility | None | $89.13 | $158.49 | $190.55 |
Health Alliance Plan Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $77.62 | Professional | None | $58.88 | $61.66 | $77.62 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $30.90 | $30.90 | $30.90 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $12.30 | $12.30 | $12.30 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $9.33 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $6.17 |
Priority Health Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $83.18 | Professional | None | $58.88 | $83.18 | $83.18 |
United Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $70.79 | Professional | None | $60.26 | $66.07 | $70.79 |
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· 31st of 51
$60.26
AK $79.43GA $58.88
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.