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 $199.53 Median $346.74 Typical High $346.74 | Facility | None | $199.53 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $346.74 | Professional | None | $199.53 | $199.53 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $173.78 | Professional | 52 · Reduced service | $100.00 | $100.00 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $69.18 | Professional | 53 · Discontinued | $39.81 | $39.81 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $51.29 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $34.67 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $34.67 |
BCBS Michigan Setting Facility Modifier None Typical Low $416.87 Median $1,023.29 Typical High $1,905.46 | Facility | None | $416.87 | $1,023.29 | $1,905.46 |
BCBS Michigan Setting Professional Modifier None Typical Low $323.59 Median $346.74 Typical High $346.74 | Professional | None | $323.59 | $346.74 | $346.74 |
CareSource Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $380.19 | Professional | None | $138.04 | $190.55 | $380.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $194.98 Median $676.08 Typical High $724.44 | Facility | None | $194.98 | $676.08 | $724.44 |
Health Alliance Plan Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $354.81 | Professional | None | $194.98 | $275.42 | $354.81 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $97.72 | $97.72 | $97.72 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $29.51 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $19.50 |
Priority Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Priority Health Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $338.84 | Professional | None | $138.04 | $190.55 | $338.84 |
United Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $416.87 | Facility | None | $125.89 | $173.78 | $416.87 |
United Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $234.42 | Professional | None | $125.89 | $162.18 | $234.42 |
Where Michigan sits
The same service costs 2.7 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· 14th of 51
$282
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.