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 $263.03 Median $263.03 Typical High $467.74 | Facility | None | $263.03 | $263.03 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $467.74 | Professional | None | $263.03 | $263.03 | $467.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $229.09 | Professional | 52 · Reduced service | $131.83 | $131.83 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $93.33 | Professional | 53 · Discontinued | $52.48 | $52.48 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $69.18 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $46.77 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $46.77 |
BCBS Michigan Setting Facility Modifier None Typical Low $562.34 Median $1,380.38 Typical High $2,570.40 | Facility | None | $562.34 | $1,380.38 | $2,570.40 |
BCBS Michigan Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $467.74 | Professional | None | $436.52 | $467.74 | $467.74 |
CareSource Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $501.19 | Professional | None | $218.78 | $302.00 | $501.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $263.03 Median $912.01 Typical High $977.24 | Facility | None | $263.03 | $912.01 | $977.24 |
Health Alliance Plan Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $467.74 | Professional | None | $263.03 | $371.54 | $467.74 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $39.81 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $26.30 |
Priority Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Priority Health Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $457.09 | Professional | None | $218.78 | $302.00 | $457.09 |
United Setting Facility Modifier None Typical Low $251.19 Median $467.74 Typical High $549.54 | Facility | None | $251.19 | $467.74 | $549.54 |
United Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $316.23 | Professional | None | $169.82 | $223.87 | $316.23 |
Where Michigan sits
The same service costs 2.5 times more in Hawaii 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· 16th of 51
$331
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.