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 $112.20 Median $112.20 Typical High $194.98 | Facility | None | $112.20 | $112.20 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $194.98 | Professional | None | $112.20 | $112.20 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $97.72 | Professional | 52 · Reduced service | $56.23 | $56.23 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $38.90 | Professional | 53 · Discontinued | $22.39 | $22.39 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $29.51 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $19.50 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $19.50 |
BCBS Michigan Setting Facility Modifier None Typical Low $234.42 Median $575.44 Typical High $1,096.48 | Facility | None | $234.42 | $575.44 | $1,096.48 |
BCBS Michigan Setting Professional Modifier None Typical Low $186.21 Median $194.98 Typical High $194.98 | Professional | None | $186.21 | $194.98 | $194.98 |
CareSource Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $229.09 | Professional | None | $89.13 | $123.03 | $229.09 |
Health Alliance Plan Setting Facility Modifier None Typical Low $112.20 Median $380.19 Typical High $416.87 | Facility | None | $112.20 | $380.19 | $416.87 |
Health Alliance Plan Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $199.53 | Professional | None | $112.20 | $154.88 | $199.53 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $16.60 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $11.22 |
Priority Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Priority Health Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $218.78 | Professional | None | $89.13 | $123.03 | $218.78 |
United Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $269.15 | Facility | None | $107.15 | $131.83 | $269.15 |
United Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $147.91 | Professional | None | $81.28 | $97.72 | $147.91 |
Where Michigan sits
The same service costs 3.0 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· 14th of 51
$155
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.