How much rates vary
Facilitymedian $229 · 10th to 90th $112 to $759Professionalmedian $145 · 10th to 90th $89 to $195
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 $109.65 Median $190.55 Typical High $190.55 | Facility | None | $109.65 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $109.65 Typical High $190.55 | Professional | None | $102.33 | $109.65 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $95.50 | Professional | 52 · Reduced service | $54.95 | $54.95 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $38.02 | Professional | 53 · Discontinued | $21.88 | $21.88 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $28.18 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $19.05 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $19.05 |
BCBS Michigan Setting Facility Modifier None Typical Low $229.09 Median $562.34 Typical High $1,047.13 | Facility | None | $229.09 | $562.34 | $1,047.13 |
BCBS Michigan Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $190.55 | Professional | None | $177.83 | $190.55 | $190.55 |
CareSource Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $125.89 | Facility | None | $117.49 | $117.49 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $186.21 | Professional | None | $85.11 | $117.49 | $186.21 |
Health Alliance Plan Setting Facility Modifier None Typical Low $107.15 Median $371.54 Typical High $398.11 | Facility | None | $107.15 | $371.54 | $398.11 |
Health Alliance Plan Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $194.98 | Professional | None | $107.15 | $138.04 | $194.98 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $16.22 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $10.72 |
Priority Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $125.89 | Facility | None | $117.49 | $117.49 | $125.89 |
Priority Health Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $169.82 | Professional | None | $85.11 | $117.49 | $169.82 |
United Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $204.17 | Facility | None | $93.33 | $93.33 | $204.17 |
United Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $123.03 | Professional | None | $63.10 | $89.13 | $123.03 |
Where Michigan sits
The same service costs 2.4 times more in Hawaii than in Colorado. 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· 8th of 51
$151
HI $204CO $85.11
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.