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 $1,174.90 Median $1,174.90 Typical High $2,041.74 | Facility | None | $1,174.90 | $1,174.90 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,041.74 | Professional | None | $1,174.90 | $1,174.90 | $2,041.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $588.84 Typical High $1,023.29 | Professional | 52 · Reduced service | $588.84 | $588.84 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $407.38 | Professional | 53 · Discontinued | $234.42 | $234.42 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $309.03 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $204.17 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $204.17 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,454.71 Median $6,025.60 Typical High $11,481.54 | Facility | None | $2,454.71 | $6,025.60 | $11,481.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,949.84 | $2,041.74 | $2,041.74 |
CareSource Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $1,412.54 | Professional | None | $977.24 | $1,318.26 | $1,412.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,174.90 Median $3,981.07 Typical High $4,365.16 | Facility | None | $1,174.90 | $3,981.07 | $4,365.16 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $2,089.30 | Professional | None | $1,174.90 | $1,621.81 | $2,089.30 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $234.42 | $234.42 | $234.42 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $173.78 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $117.49 |
Priority Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Priority Health Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $1,698.24 | Professional | None | $977.24 | $1,318.26 | $1,698.24 |
United Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $2,238.72 | Facility | None | $645.65 | $831.76 | $2,238.72 |
United Setting Professional Modifier None Typical Low $691.83 Median $977.24 Typical High $1,318.26 | Professional | None | $691.83 | $977.24 | $1,318.26 |
Where Michigan sits
The same service costs 2.5 times more in Montana than in Pennsylvania. 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· 10th of 51
$1,622
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.