How much rates vary
Facilitymedian $363 · 10th to 90th $174 to $1,230Professionalmedian $204 · 10th to 90th $132 to $288
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 $162.18 Median $162.18 Typical High $281.84 | Facility | None | $162.18 | $162.18 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $281.84 | Professional | None | $162.18 | $162.18 | $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 $32.36 Median $32.36 Typical High $56.23 | Professional | 53 · Discontinued | $32.36 | $32.36 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $42.66 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $28.18 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $28.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $338.84 Median $831.76 Typical High $1,584.89 | Facility | None | $338.84 | $831.76 | $1,584.89 |
BCBS Michigan Setting Professional Modifier None Typical Low $269.15 Median $281.84 Typical High $281.84 | Professional | None | $269.15 | $281.84 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna 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 Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $275.42 | Professional | None | $131.83 | $181.97 | $275.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $162.18 Median $549.54 Typical High $602.56 | Facility | None | $162.18 | $549.54 | $602.56 |
Health Alliance Plan Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $288.40 | Professional | None | $162.18 | $223.87 | $288.40 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
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 $16.22 Median $16.22 Typical High $16.22 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $16.22 |
Priority Health Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Priority Health Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $251.19 | Professional | None | $131.83 | $181.97 | $251.19 |
United Setting Facility Modifier None Typical Low $147.91 Median $173.78 Typical High $302.00 | Facility | None | $147.91 | $173.78 | $302.00 |
United Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $177.83 | Professional | None | $93.33 | $134.90 | $177.83 |
Where Michigan sits
The same service costs 3.5 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· 10th of 51
$214
HI $427DC $120
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.