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 $186.21 Typical High $186.21 | Facility | None | $107.15 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $190.55 | Professional | None | $107.15 | $107.15 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $95.50 | Professional | 52 · Reduced service | $53.70 | $53.70 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $38.02 | Professional | 53 · Discontinued | $21.38 | $21.38 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $28.84 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $19.05 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $19.05 |
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 $186.21 Typical High $186.21 | Professional | None | $173.78 | $186.21 | $186.21 |
CareSource Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $213.80 Typical High $346.74 | Professional | None | $154.88 | $213.80 | $346.74 |
Health Alliance Plan Setting Facility Modifier None Typical Low $128.82 Median $630.96 Typical High $691.83 | Facility | None | $128.82 | $630.96 | $691.83 |
Health Alliance Plan Setting Professional Modifier None Typical Low $128.82 Median $234.42 Typical High $309.03 | Professional | None | $128.82 | $234.42 | $309.03 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $19.50 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $12.88 |
Priority Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Priority Health Setting Professional Modifier None Typical Low $154.88 Median $213.80 Typical High $346.74 | Professional | None | $154.88 | $213.80 | $346.74 |
United Setting Facility Modifier None Typical Low $295.12 Median $346.74 Typical High $416.87 | Facility | None | $295.12 | $346.74 | $416.87 |
United Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $257.04 | Professional | None | $128.82 | $165.96 | $257.04 |
Where Michigan sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 27th of 51
$186
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.