How much rates vary
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 $107.15 Median $181.97 Typical High $181.97 | Facility | None | $107.15 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $181.97 | Professional | None | $107.15 | $107.15 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $91.20 | Professional | 52 · Reduced service | $53.70 | $53.70 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $37.15 | Professional | 53 · Discontinued | $21.38 | $21.38 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $27.54 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $18.20 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $18.20 |
BCBS Michigan Setting Facility Modifier None Typical Low $223.87 Median $549.54 Typical High $1,023.29 | Facility | None | $223.87 | $549.54 | $1,023.29 |
BCBS Michigan Setting Professional Modifier None Typical Low $173.78 Median $181.97 Typical High $181.97 | Professional | None | $173.78 | $181.97 | $181.97 |
CareSource Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $213.80 | Professional | None | $91.20 | $125.89 | $213.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $104.71 Median $354.81 Typical High $389.05 | Facility | None | $104.71 | $354.81 | $389.05 |
Health Alliance Plan Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $186.21 | Professional | None | $104.71 | $141.25 | $186.21 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $15.85 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $10.47 |
Priority Health Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Priority Health Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $204.17 | Professional | None | $91.20 | $125.89 | $204.17 |
United Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $251.19 | Facility | None | $87.10 | $100.00 | $251.19 |
United Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $131.83 | Professional | None | $75.86 | $91.20 | $131.83 |
Where Michigan sits
The same service costs 2.4 times more in Hawaii than in Delaware. 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· 16th of 51
$148
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.