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 $34.67 Median $60.26 Typical High $60.26 | Facility | None | $34.67 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $60.26 | Professional | None | $34.67 | $34.67 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $30.20 | Professional | 52 · Reduced service | $17.38 | $17.38 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $12.02 | Professional | 53 · Discontinued | $6.92 | $6.92 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $5.25 Typical High $8.91 | Professional | 55 · Aftercare only | $5.25 | $5.25 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.47 Typical High $6.03 | Professional | 56 · Pre-op care only | $3.47 | $3.47 | $6.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $72.44 Median $177.83 Typical High $331.13 | Facility | None | $72.44 | $177.83 | $331.13 |
BCBS Michigan Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $60.26 | Professional | None | $56.23 | $60.26 | $60.26 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $33.11 Typical High $66.07 | Professional | None | $24.55 | $33.11 | $66.07 |
Health Alliance Plan Setting Facility Modifier None Typical Low $33.88 Median $117.49 Typical High $125.89 | Facility | None | $33.88 | $117.49 | $125.89 |
Health Alliance Plan Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $61.66 | Professional | None | $33.88 | $47.86 | $61.66 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $16.98 | $16.98 | $16.98 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $6.76 | $6.76 | $6.76 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 55 · Aftercare only | $5.13 | $5.13 | $5.13 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | 56 · Pre-op care only | $3.39 | $3.39 | $3.39 |
Priority Health Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Priority Health Setting Professional Modifier None Typical Low $24.55 Median $33.11 Typical High $58.88 | Professional | None | $24.55 | $33.11 | $58.88 |
United Setting Facility Modifier None Typical Low $61.66 Median $72.44 Typical High $87.10 | Facility | None | $61.66 | $72.44 | $87.10 |
United Setting Professional Modifier None Typical Low $22.39 Median $28.18 Typical High $40.74 | Professional | None | $22.39 | $28.18 | $40.74 |
Where Michigan sits
The same service costs 2.8 times more in Kansas 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· 16th of 51
$47.86
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.