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 $35.48 Median $61.66 Typical High $61.66 | Facility | None | $35.48 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $61.66 | Professional | None | $33.11 | $35.48 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $30.90 | Professional | 52 · Reduced service | $17.78 | $17.78 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $12.30 | Professional | 53 · Discontinued | $7.08 | $7.08 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $9.12 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.55 Typical High $6.17 | Professional | 56 · Pre-op care only | $3.55 | $3.55 | $6.17 |
BCBS Michigan Setting Facility Modifier None Typical Low $74.13 Median $181.97 Typical High $338.84 | Facility | None | $74.13 | $181.97 | $338.84 |
BCBS Michigan Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $61.66 | Professional | None | $58.88 | $61.66 | $61.66 |
CareSource Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $36.31 | Facility | None | $33.88 | $33.88 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $33.88 Typical High $67.61 | Professional | None | $25.12 | $33.88 | $67.61 |
Health Alliance Plan Setting Facility Modifier None Typical Low $34.67 Median $120.23 Typical High $128.82 | Facility | None | $34.67 | $120.23 | $128.82 |
Health Alliance Plan Setting Professional Modifier None Typical Low $34.67 Median $45.71 Typical High $63.10 | Professional | None | $34.67 | $45.71 | $63.10 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $17.38 | $17.38 | $17.38 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.08 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 55 · Aftercare only | $5.25 | $5.25 | $5.25 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 56 · Pre-op care only | $3.47 | $3.47 | $3.47 |
Priority Health Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $36.31 | Facility | None | $33.88 | $33.88 | $36.31 |
Priority Health Setting Professional Modifier None Typical Low $25.12 Median $33.88 Typical High $61.66 | Professional | None | $25.12 | $33.88 | $61.66 |
United Setting Facility Modifier None Typical Low $63.10 Median $74.13 Typical High $89.13 | Facility | None | $63.10 | $74.13 | $89.13 |
United Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $40.74 | Professional | None | $22.91 | $28.84 | $40.74 |
Where Michigan sits
The same service costs 2.8 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· 15th of 51
$48.98
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.