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 $63.10 Median $107.15 Typical High $107.15 | Facility | None | $63.10 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $107.15 | Professional | None | $66.07 | $66.07 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $53.70 | Professional | 52 · Reduced service | $33.11 | $33.11 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $21.38 | Professional | 53 · Discontinued | $13.49 | $13.49 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $15.85 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $10.72 |
BCBS Michigan Setting Facility Modifier None Typical Low $389.05 Median $954.99 Typical High $1,778.28 | Facility | None | $389.05 | $954.99 | $1,778.28 |
BCBS Michigan Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $323.59 | Professional | None | $302.00 | $323.59 | $323.59 |
CareSource Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $169.82 | Professional | None | $41.69 | $56.23 | $169.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $67.61 Median $316.23 Typical High $346.74 | Facility | None | $67.61 | $316.23 | $346.74 |
Health Alliance Plan Setting Professional Modifier None Typical Low $67.61 Median $117.49 Typical High $165.96 | Professional | None | $67.61 | $117.49 | $165.96 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $33.11 | $33.11 | $33.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $13.49 | $13.49 | $13.49 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $10.00 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $6.76 |
Priority Health Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Priority Health Setting Professional Modifier None Typical Low $56.23 Median $109.65 Typical High $186.21 | Professional | None | $56.23 | $109.65 | $186.21 |
United Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $120.23 | Professional | None | $64.57 | $77.62 | $120.23 |
Where Michigan sits
The same service costs 4.9 times more in North Dakota 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· 17th of 51
$117
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.