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 $51.29 Median $89.13 Typical High $89.13 | Facility | None | $51.29 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $51.29 Typical High $89.13 | Professional | None | $47.86 | $51.29 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $44.67 | Professional | 52 · Reduced service | $25.70 | $25.70 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $17.78 | Professional | 53 · Discontinued | $10.23 | $10.23 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.76 Typical High $13.18 | Professional | 55 · Aftercare only | $7.76 | $7.76 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.13 Typical High $8.91 | Professional | 56 · Pre-op care only | $5.13 | $5.13 | $8.91 |
BCBS Michigan Setting Facility Modifier None Typical Low $107.15 Median $263.03 Typical High $501.19 | Facility | None | $107.15 | $263.03 | $501.19 |
BCBS Michigan Setting Professional Modifier None Typical Low $85.11 Median $89.13 Typical High $89.13 | Professional | None | $85.11 | $89.13 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $50.12 Typical High $97.72 | Professional | None | $36.31 | $50.12 | $97.72 |
Health Alliance Plan Setting Facility Modifier None Typical Low $51.29 Median $173.78 Typical High $190.55 | Facility | None | $51.29 | $173.78 | $190.55 |
Health Alliance Plan Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $91.20 | Professional | None | $51.29 | $64.57 | $91.20 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $25.12 | $25.12 | $25.12 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 55 · Aftercare only | $7.59 | $7.59 | $7.59 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 56 · Pre-op care only | $5.13 | $5.13 | $5.13 |
Priority Health Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Priority Health Setting Professional Modifier None Typical Low $36.31 Median $50.12 Typical High $89.13 | Professional | None | $36.31 | $50.12 | $89.13 |
United Setting Facility Modifier None Typical Low $91.20 Median $107.15 Typical High $128.82 | Facility | None | $91.20 | $107.15 | $128.82 |
United Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $58.88 | Professional | None | $33.11 | $41.69 | $58.88 |
Where Michigan sits
The same service costs 3.0 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· 16th of 51
$67.61
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.