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 $67.61 Median $114.82 Typical High $114.82 | Facility | None | $67.61 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $114.82 | Professional | None | $67.61 | $67.61 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $57.54 | Professional | 52 · Reduced service | $33.88 | $33.88 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $22.91 | Professional | 53 · Discontinued | $13.49 | $13.49 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $17.38 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $11.48 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $11.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $141.25 Median $338.84 Typical High $645.65 | Facility | None | $141.25 | $338.84 | $645.65 |
BCBS Michigan Setting Professional Modifier None Typical Low $109.65 Median $114.82 Typical High $114.82 | Professional | None | $109.65 | $114.82 | $114.82 |
CareSource Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $64.57 Typical High $128.82 | Professional | None | $46.77 | $64.57 | $128.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $66.07 Median $223.87 Typical High $245.47 | Facility | None | $66.07 | $223.87 | $245.47 |
Health Alliance Plan Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $117.49 | Professional | None | $66.07 | $87.10 | $117.49 |
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 $13.18 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $13.18 | $13.18 | $13.18 |
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 $6.61 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $6.61 |
Priority Health Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Priority Health Setting Professional Modifier None Typical Low $46.77 Median $64.57 Typical High $114.82 | Professional | None | $46.77 | $64.57 | $114.82 |
United Setting Facility Modifier None Typical Low $120.23 Median $141.25 Typical High $169.82 | Facility | None | $120.23 | $141.25 | $169.82 |
United Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $79.43 | Professional | None | $42.66 | $54.95 | $79.43 |
Where Michigan sits
The same service costs 2.6 times more in Hawaii 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
$93.33
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.