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 $371.54 Median $645.65 Typical High $645.65 | Facility | None | $371.54 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $645.65 | Professional | None | $371.54 | $371.54 | $645.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $186.21 Typical High $323.59 | Professional | 52 · Reduced service | $186.21 | $186.21 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $128.82 | Professional | 53 · Discontinued | $74.13 | $74.13 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $95.50 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $64.57 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $64.57 |
BCBS Michigan Setting Facility Modifier None Typical Low $776.25 Median $1,905.46 Typical High $3,548.13 | Facility | None | $776.25 | $1,905.46 | $3,548.13 |
BCBS Michigan Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $645.65 | Professional | None | $602.56 | $645.65 | $645.65 |
CareSource Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $691.83 | Professional | None | $309.03 | $416.87 | $691.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $363.08 Median $1,258.93 Typical High $1,348.96 | Facility | None | $363.08 | $1,258.93 | $1,348.96 |
Health Alliance Plan Setting Professional Modifier None Typical Low $363.08 Median $512.86 Typical High $660.69 | Professional | None | $363.08 | $512.86 | $660.69 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $54.95 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $36.31 |
Priority Health Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Priority Health Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $630.96 | Professional | None | $309.03 | $416.87 | $630.96 |
United Setting Facility Modifier None Typical Low $363.08 Median $371.54 Typical High $758.58 | Facility | None | $363.08 | $371.54 | $758.58 |
United Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $426.58 | Professional | None | $234.42 | $302.00 | $426.58 |
Where Michigan sits
The same service costs 2.9 times more in Hawaii than in Washington, DC. 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· 14th of 51
$525
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.