How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $33.11 Median $56.23 Typical High $56.23 | Facility | None | $33.11 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $56.23 | Professional | None | $30.20 | $33.11 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.60 Typical High $28.18 | Professional | 52 · Reduced service | $16.60 | $16.60 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $11.22 | Professional | 53 · Discontinued | $6.61 | $6.61 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $4.90 Typical High $8.51 | Professional | 55 · Aftercare only | $4.90 | $4.90 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.31 Typical High $5.62 | Professional | 56 · Pre-op care only | $3.31 | $3.31 | $5.62 |
BCBS Michigan Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
BCBS Michigan Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $56.23 | Professional | None | $53.70 | $56.23 | $56.23 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $63.10 | Professional | None | $23.99 | $33.11 | $63.10 |
Health Alliance Plan Setting Facility Modifier None Typical Low $32.36 Median $109.65 Typical High $120.23 | Facility | None | $32.36 | $109.65 | $120.23 |
Health Alliance Plan Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $57.54 | Professional | None | $32.36 | $41.69 | $57.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $4.90 | $4.90 | $4.90 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
Priority Health Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Priority Health Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $56.23 | Professional | None | $23.99 | $33.11 | $56.23 |
United Setting Facility Modifier None Typical Low $58.88 Median $69.18 Typical High $83.18 | Facility | None | $58.88 | $69.18 | $83.18 |
United Setting Professional Modifier None Typical Low $20.89 Median $26.92 Typical High $38.90 | Professional | None | $20.89 | $26.92 | $38.90 |
Where Michigan sits
The same service costs 2.6 times more in Montana 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· 16th of 51
$41.69
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.