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 $173.78 Median $302.00 Typical High $302.00 | Facility | None | $173.78 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $302.00 | Professional | None | $173.78 | $173.78 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $151.36 | Professional | 52 · Reduced service | $87.10 | $87.10 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $60.26 | Professional | 53 · Discontinued | $34.67 | $34.67 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $44.67 | Professional | 55 · Aftercare only | $26.30 | $26.30 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $30.20 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $30.20 |
BCBS Michigan Setting Facility Modifier None Typical Low $363.08 Median $891.25 Typical High $1,698.24 | Facility | None | $363.08 | $891.25 | $1,698.24 |
BCBS Michigan Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $302.00 | Professional | None | $288.40 | $302.00 | $302.00 |
CareSource Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $186.21 | Professional | None | $138.04 | $169.82 | $186.21 |
Health Alliance Plan Setting Facility Modifier None Typical Low $173.78 Median $588.84 Typical High $645.65 | Facility | None | $173.78 | $588.84 | $645.65 |
Health Alliance Plan Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $309.03 | Professional | None | $173.78 | $239.88 | $309.03 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $25.70 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $17.38 |
Priority Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Priority Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $251.19 | Professional | None | $169.82 | $169.82 | $251.19 |
United Setting Facility Modifier None Typical Low $199.53 Median $263.03 Typical High $407.38 | Facility | None | $199.53 | $263.03 | $407.38 |
United Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $213.80 | Professional | None | $125.89 | $151.36 | $213.80 |
Where Michigan sits
The same service costs 5.0 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· 18th of 51
$240
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.