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 $64.57 Median $64.57 Typical High $114.82 | Facility | None | $64.57 | $64.57 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $114.82 | Professional | None | $64.57 | $64.57 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $57.54 | Professional | 52 · Reduced service | $32.36 | $32.36 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $22.91 | Professional | 53 · Discontinued | $12.88 | $12.88 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $9.77 Typical High $16.98 | Professional | 55 · Aftercare only | $9.77 | $9.77 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $11.48 | Professional | 56 · Pre-op care only | $6.46 | $6.46 | $11.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $138.04 Median $338.84 Typical High $630.96 | Facility | None | $138.04 | $338.84 | $630.96 |
BCBS Michigan Setting Professional Modifier None Typical Low $107.15 Median $114.82 Typical High $114.82 | Professional | None | $107.15 | $114.82 | $114.82 |
CareSource Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $95.50 | Professional | None | $77.62 | $91.20 | $95.50 |
Health Alliance Plan Setting Facility Modifier None Typical Low $64.57 Median $223.87 Typical High $239.88 | Facility | None | $64.57 | $223.87 | $239.88 |
Health Alliance Plan Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $117.49 | Professional | None | $64.57 | $91.20 | $117.49 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 55 · Aftercare only | $9.77 | $9.77 | $9.77 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $6.46 | $6.46 | $6.46 |
Priority Health Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Priority Health Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $100.00 | Professional | None | $77.62 | $91.20 | $100.00 |
United Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $165.96 | Facility | None | $117.49 | $138.04 | $165.96 |
United Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $77.62 | Professional | None | $42.66 | $54.95 | $77.62 |
Where Michigan sits
The same service costs 1.9 times more in Montana than in Virginia. 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
$91.20
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.