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 $891.25 Median $1,548.82 Typical High $1,548.82 | Facility | None | $891.25 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,548.82 | Professional | None | $891.25 | $891.25 | $1,548.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $446.68 Typical High $776.25 | Professional | 52 · Reduced service | $446.68 | $446.68 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $309.03 | Professional | 53 · Discontinued | $177.83 | $177.83 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $229.09 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $154.88 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $154.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,862.09 Median $4,570.88 Typical High $8,511.38 | Facility | None | $1,862.09 | $4,570.88 | $8,511.38 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,445.44 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,445.44 | $1,548.82 | $1,548.82 |
CareSource Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $851.14 Typical High $1,096.48 | Professional | None | $616.60 | $851.14 | $1,096.48 |
Health Alliance Plan Setting Facility Modifier None Typical Low $870.96 Median $3,019.95 Typical High $3,235.94 | Facility | None | $870.96 | $3,019.95 | $3,235.94 |
Health Alliance Plan Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $1,584.89 | Professional | None | $870.96 | $1,230.27 | $1,584.89 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $131.83 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Priority Health Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Priority Health Setting Professional Modifier None Typical Low $616.60 Median $851.14 Typical High $1,288.25 | Professional | None | $616.60 | $851.14 | $1,288.25 |
United Setting Facility Modifier None Typical Low $630.96 Median $776.25 Typical High $1,819.70 | Facility | None | $630.96 | $776.25 | $1,819.70 |
United Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $1,023.29 | Professional | None | $562.34 | $724.44 | $1,023.29 |
Where Michigan sits
The same service costs 3.0 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· 11th of 51
$1,259
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.