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 $354.81 Median $354.81 Typical High $616.60 | Facility | None | $354.81 | $354.81 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $616.60 | Professional | None | $354.81 | $354.81 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $309.03 | Professional | 52 · Reduced service | $177.83 | $177.83 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $123.03 | Professional | 53 · Discontinued | $70.79 | $70.79 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $93.33 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $61.66 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $61.66 |
BCBS Michigan Setting Facility Modifier None Typical Low $741.31 Median $1,819.70 Typical High $3,467.37 | Facility | None | $741.31 | $1,819.70 | $3,467.37 |
BCBS Michigan Setting Professional Modifier None Typical Low $588.84 Median $616.60 Typical High $616.60 | Professional | None | $588.84 | $616.60 | $616.60 |
CareSource Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $426.58 | Professional | None | $295.12 | $398.11 | $426.58 |
Health Alliance Plan Setting Facility Modifier None Typical Low $354.81 Median $1,202.26 Typical High $1,318.26 | Facility | None | $354.81 | $1,202.26 | $1,318.26 |
Health Alliance Plan Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $630.96 | Professional | None | $354.81 | $489.78 | $630.96 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $177.83 | $177.83 | $177.83 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $70.79 | $70.79 | $70.79 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $53.70 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $35.48 |
Priority Health Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Priority Health Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $512.86 | Professional | None | $295.12 | $398.11 | $512.86 |
United Setting Facility Modifier None Typical Low $257.04 Median $331.13 Typical High $724.44 | Facility | None | $257.04 | $331.13 | $724.44 |
United Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $416.87 | Professional | None | $218.78 | $295.12 | $416.87 |
Where Michigan sits
The same service costs 2.5 times more in Hawaii than in Washington, DC. 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
$490
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.