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 $218.78 Median $380.19 Typical High $380.19 | Facility | None | $218.78 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $380.19 | Professional | None | $204.17 | $218.78 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $109.65 Typical High $190.55 | Professional | 52 · Reduced service | $109.65 | $109.65 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $75.86 | Professional | 53 · Discontinued | $43.65 | $43.65 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $56.23 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $38.02 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $38.02 |
BCBS Michigan Setting Facility Modifier None Typical Low $457.09 Median $1,122.02 Typical High $2,137.96 | Facility | None | $457.09 | $1,122.02 | $2,137.96 |
BCBS Michigan Setting Professional Modifier None Typical Low $363.08 Median $380.19 Typical High $380.19 | Professional | None | $363.08 | $380.19 | $380.19 |
CareSource Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
CareSource Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $537.03 | Professional | None | $380.19 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $416.87 | Professional | None | $154.88 | $208.93 | $416.87 |
Health Alliance Plan Setting Facility Modifier None Typical Low $213.80 Median $741.31 Typical High $812.83 | Facility | None | $213.80 | $741.31 | $812.83 |
Health Alliance Plan Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $389.05 | Professional | None | $213.80 | $275.42 | $389.05 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $43.65 | $43.65 | $43.65 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $32.36 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
Priority Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Priority Health Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $380.19 | Professional | None | $154.88 | $208.93 | $380.19 |
United Setting Facility Modifier None Typical Low $389.05 Median $457.09 Typical High $549.54 | Facility | None | $389.05 | $457.09 | $549.54 |
United Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $257.04 | Professional | None | $141.25 | $177.83 | $257.04 |
Where Michigan sits
The same service costs 2.4 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· 15th of 51
$275
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.