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 $93.33 Median $162.18 Typical High $162.18 | Facility | None | $93.33 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $162.18 | Professional | None | $93.33 | $93.33 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $81.28 | Professional | 52 · Reduced service | $46.77 | $46.77 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $32.36 | Professional | 53 · Discontinued | $18.62 | $18.62 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $24.55 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $16.22 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $16.22 |
BCBS Michigan Setting Facility Modifier None Typical Low $194.98 Median $478.63 Typical High $912.01 | Facility | None | $194.98 | $478.63 | $912.01 |
BCBS Michigan Setting Professional Modifier None Typical Low $154.88 Median $162.18 Typical High $162.18 | Professional | None | $154.88 | $162.18 | $162.18 |
CareSource Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $165.96 | Professional | None | $77.62 | $107.15 | $165.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $93.33 Median $316.23 Typical High $346.74 | Facility | None | $93.33 | $316.23 | $346.74 |
Health Alliance Plan Setting Professional Modifier None Typical Low $93.33 Median $128.82 Typical High $165.96 | Professional | None | $93.33 | $128.82 | $165.96 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $13.80 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $9.33 |
Priority Health Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Priority Health Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $147.91 | Professional | None | $77.62 | $107.15 | $147.91 |
United Setting Facility Modifier None Typical Low $89.13 Median $181.97 Typical High $870.96 | Facility | None | $89.13 | $181.97 | $870.96 |
United Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $107.15 | Professional | None | $54.95 | $75.86 | $107.15 |
Where Michigan sits
The same service costs 5.1 times more in Hawaii than in Florida. 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
$132
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.