How much rates vary
Facilitymedian $174 · 10th to 90th $58 to $457Professionalmedian $81 · 10th to 90th $48 to $105
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 $58.88 Median $102.33 Typical High $102.33 | Facility | None | $58.88 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $102.33 | Professional | None | $58.88 | $58.88 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $29.51 Typical High $51.29 | Professional | 52 · Reduced service | $29.51 | $29.51 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $20.42 | Professional | 53 · Discontinued | $12.02 | $12.02 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $8.91 Typical High $15.49 | Professional | 55 · Aftercare only | $8.91 | $8.91 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $10.23 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $10.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $123.03 Median $302.00 Typical High $575.44 | Facility | None | $123.03 | $302.00 | $575.44 |
BCBS Michigan Setting Professional Modifier None Typical Low $97.72 Median $102.33 Typical High $102.33 | Professional | None | $97.72 | $102.33 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna 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 Professional Modifier None Typical Low $41.69 Median $57.54 Typical High $114.82 | Professional | None | $41.69 | $57.54 | $114.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $58.88 Median $199.53 Typical High $218.78 | Facility | None | $58.88 | $199.53 | $218.78 |
Health Alliance Plan Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $104.71 | Professional | None | $58.88 | $81.28 | $104.71 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $29.51 | $29.51 | $29.51 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.75 | $11.75 | $11.75 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $8.71 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $5.89 |
Priority Health Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Priority Health Setting Professional Modifier None Typical Low $41.69 Median $57.54 Typical High $102.33 | Professional | None | $41.69 | $57.54 | $102.33 |
United Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $151.36 | Facility | None | $107.15 | $125.89 | $151.36 |
United Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $69.18 | Professional | None | $38.02 | $47.86 | $69.18 |
Where Michigan sits
The same service costs 2.6 times more in Montana 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· 14th of 51
$81.28
MT $110DE $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.