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 $158.49 Median $158.49 Typical High $281.84 | Facility | None | $158.49 | $158.49 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $281.84 | Professional | None | $158.49 | $158.49 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $141.25 | Professional | 52 · Reduced service | $79.43 | $79.43 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $56.23 | Professional | 53 · Discontinued | $31.62 | $31.62 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $41.69 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $28.18 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $28.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $338.84 Median $831.76 Typical High $1,548.82 | Facility | None | $338.84 | $831.76 | $1,548.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $263.03 Median $281.84 Typical High $281.84 | Professional | None | $263.03 | $281.84 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $323.59 | Professional | None | $128.82 | $173.78 | $323.59 |
Health Alliance Plan Setting Facility Modifier None Typical Low $158.49 Median $549.54 Typical High $588.84 | Facility | None | $158.49 | $549.54 | $588.84 |
Health Alliance Plan Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $288.40 | Professional | None | $158.49 | $223.87 | $288.40 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $23.99 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $15.85 |
Priority Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Priority Health Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $316.23 | Professional | None | $128.82 | $173.78 | $316.23 |
United Setting Facility Modifier None Typical Low $186.21 Median $229.09 Typical High $380.19 | Facility | None | $186.21 | $229.09 | $380.19 |
United Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $208.93 | Professional | None | $117.49 | $138.04 | $208.93 |
Where Michigan sits
The same service costs 4.0 times more in Hawaii 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· 16th of 51
$224
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.