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 $87.10 Median $87.10 Typical High $154.88 | Facility | None | $87.10 | $87.10 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $154.88 | Professional | None | $87.10 | $87.10 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $77.62 | Professional | 52 · Reduced service | $43.65 | $43.65 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $30.90 | Professional | 53 · Discontinued | $17.38 | $17.38 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $22.91 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $15.49 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $186.21 Median $457.09 Typical High $851.14 | Facility | None | $186.21 | $457.09 | $851.14 |
BCBS Michigan Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $154.88 | Professional | None | $144.54 | $154.88 | $154.88 |
CareSource Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $177.83 | Professional | None | $72.44 | $100.00 | $177.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $87.10 Median $302.00 Typical High $323.59 | Facility | None | $87.10 | $302.00 | $323.59 |
Health Alliance Plan Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $158.49 | Professional | None | $87.10 | $123.03 | $158.49 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $43.65 | $43.65 | $43.65 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.38 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $13.18 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $8.71 |
Priority Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Priority Health Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $173.78 | Professional | None | $72.44 | $100.00 | $173.78 |
United Setting Facility Modifier None Typical Low $60.26 Median $75.86 Typical High $208.93 | Facility | None | $60.26 | $75.86 | $208.93 |
United Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $114.82 | Professional | None | $64.57 | $75.86 | $114.82 |
Where Michigan sits
The same service costs 2.9 times more in Montana than in Florida. 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· 15th of 51
$123
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.