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 $302.00 Median $524.81 Typical High $524.81 | Facility | None | $302.00 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $524.81 | Professional | None | $302.00 | $302.00 | $524.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $263.03 | Professional | 52 · Reduced service | $151.36 | $151.36 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $104.71 | Professional | 53 · Discontinued | $60.26 | $60.26 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $77.62 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $52.48 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $52.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $630.96 Median $1,548.82 Typical High $2,951.21 | Facility | None | $630.96 | $1,548.82 | $2,951.21 |
BCBS Michigan Setting Professional Modifier None Typical Low $501.19 Median $524.81 Typical High $524.81 | Professional | None | $501.19 | $524.81 | $524.81 |
CareSource Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $371.54 Typical High $602.56 | Professional | None | $275.42 | $371.54 | $602.56 |
Health Alliance Plan Setting Facility Modifier None Typical Low $302.00 Median $1,023.29 Typical High $1,122.02 | Facility | None | $302.00 | $1,023.29 | $1,122.02 |
Health Alliance Plan Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $537.03 | Professional | None | $302.00 | $416.87 | $537.03 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $147.91 | $147.91 | $147.91 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $60.26 | $60.26 | $60.26 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $44.67 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $30.20 |
Priority Health Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Priority Health Setting Professional Modifier None Typical Low $275.42 Median $371.54 Typical High $588.84 | Professional | None | $275.42 | $371.54 | $588.84 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $707.95 | Facility | None | $346.74 | $346.74 | $707.95 |
United Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $371.54 | Professional | None | $218.78 | $263.03 | $371.54 |
Where Michigan sits
The same service costs 4.5 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· 17th of 51
$427
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.