How much rates vary
Facilitymedian $437 · 10th to 90th $158 to $1,479Professionalmedian $269 · 10th to 90th $155 to $347
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 $194.98 Median $338.84 Typical High $338.84 | Facility | None | $194.98 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $338.84 | Professional | None | $194.98 | $194.98 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $169.82 | Professional | 52 · Reduced service | $97.72 | $97.72 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $67.61 | Professional | 53 · Discontinued | $38.90 | $38.90 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $51.29 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $33.88 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $33.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $1,905.46 | Facility | None | $407.38 | $1,000.00 | $1,905.46 |
BCBS Michigan Setting Professional Modifier None Typical Low $323.59 Median $338.84 Typical High $338.84 | Professional | None | $323.59 | $338.84 | $338.84 |
CareSource Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $316.23 | Professional | None | $117.49 | $158.49 | $316.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $194.98 Median $660.69 Typical High $724.44 | Facility | None | $194.98 | $660.69 | $724.44 |
Health Alliance Plan Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $346.74 | Professional | None | $194.98 | $269.15 | $346.74 |
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 $28.84 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $28.84 | $28.84 | $28.84 |
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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Priority Health Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $288.40 | Professional | None | $117.49 | $158.49 | $288.40 |
United Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $346.74 | Facility | None | $141.25 | $169.82 | $346.74 |
United Setting Professional Modifier None Typical Low $107.15 Median $158.49 Typical High $213.80 | Professional | None | $107.15 | $158.49 | $213.80 |
Where Michigan sits
The same service costs 4.4 times more in Hawaii than in Kansas. 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· 7th of 51
$275
HI $468KS $107
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.