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 $11.22 Median $19.05 Typical High $19.05 | Facility | None | $11.22 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $19.05 | Professional | None | $12.02 | $12.02 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.03 Typical High $9.55 | Professional | 52 · Reduced service | $6.03 | $6.03 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $3.80 | Professional | 53 · Discontinued | $2.40 | $2.40 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $1.82 Typical High $2.88 | Professional | 55 · Aftercare only | $1.82 | $1.82 | $2.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.20 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.20 | $1.20 | $1.91 |
BCBS Michigan Setting Facility Modifier None Typical Low $218.78 Median $537.03 Typical High $1,000.00 | Facility | None | $218.78 | $537.03 | $1,000.00 |
BCBS Michigan Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $181.97 | Professional | None | $169.82 | $181.97 | $181.97 |
CareSource Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $61.66 | Professional | None | $20.42 | $28.18 | $61.66 |
Health Alliance Plan Setting Facility Modifier None Typical Low $12.02 Median $57.54 Typical High $63.10 | Facility | None | $12.02 | $57.54 | $63.10 |
Health Alliance Plan Setting Professional Modifier None Typical Low $12.02 Median $21.38 Typical High $32.36 | Professional | None | $12.02 | $21.38 | $32.36 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 52 · Reduced service | $6.03 | $6.03 | $6.03 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | 53 · Discontinued | $2.40 | $2.40 | $2.40 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 55 · Aftercare only | $1.82 | $1.82 | $1.82 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | 56 · Pre-op care only | $1.20 | $1.20 | $1.20 |
Priority Health Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Priority Health Setting Professional Modifier None Typical Low $26.92 Median $28.18 Typical High $61.66 | Professional | None | $26.92 | $28.18 | $61.66 |
United Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $21.88 | Professional | None | $11.75 | $14.13 | $21.88 |
Where Michigan sits
The same service costs 8.7 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· 20th of 51
$21.38
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.