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 $1,258.93 Median $2,137.96 Typical High $2,137.96 | Facility | None | $1,258.93 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,137.96 | Professional | None | $1,258.93 | $1,258.93 | $2,137.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $1,071.52 | Professional | 52 · Reduced service | $630.96 | $630.96 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $426.58 | Professional | 53 · Discontinued | $251.19 | $251.19 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $323.59 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $213.80 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $213.80 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,630.27 Median $6,309.57 Typical High $12,022.64 | Facility | None | $2,630.27 | $6,309.57 | $12,022.64 |
BCBS Michigan Setting Professional Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,041.74 | $2,137.96 | $2,137.96 |
CareSource Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $2,187.76 | Professional | None | $870.96 | $1,174.90 | $2,187.76 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,230.27 Median $4,168.69 Typical High $5,370.32 | Facility | None | $1,230.27 | $4,168.69 | $5,370.32 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $2,187.76 | Professional | None | $1,230.27 | $1,698.24 | $2,187.76 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $616.60 | $616.60 | $616.60 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $245.47 | $245.47 | $245.47 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $186.21 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $123.03 |
Priority Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Priority Health Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,995.26 | Professional | None | $870.96 | $1,174.90 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,398.83 | Facility | None | $1,174.90 | $1,479.11 | $2,398.83 |
United Setting Professional Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,445.44 | Professional | None | $741.31 | $1,023.29 | $1,445.44 |
Where Michigan sits
The same service costs 4.0 times more in Hawaii than in Pennsylvania. 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· 13th of 51
$1,778
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.