How much rates vary
Facilitymedian $224 · 10th to 90th $100 to $562Professionalmedian $100 · 10th to 90th $63 to $129
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 $72.44 Median $72.44 Typical High $125.89 | Facility | None | $72.44 | $72.44 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $125.89 | Professional | None | $72.44 | $72.44 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $63.10 | Professional | 52 · Reduced service | $36.31 | $36.31 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $25.12 | Professional | 53 · Discontinued | $14.45 | $14.45 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $19.05 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $12.59 | Professional | 56 · Pre-op care only | $7.24 | $7.24 | $12.59 |
BCBS Michigan Setting Facility Modifier None Typical Low $151.36 Median $371.54 Typical High $707.95 | Facility | None | $151.36 | $371.54 | $707.95 |
BCBS Michigan Setting Professional Modifier None Typical Low $120.23 Median $125.89 Typical High $125.89 | Professional | None | $120.23 | $125.89 | $125.89 |
CareSource Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $141.25 | Professional | None | $85.11 | $100.00 | $141.25 |
Health Alliance Plan Setting Facility Modifier None Typical Low $72.44 Median $245.47 Typical High $269.15 | Facility | None | $72.44 | $245.47 | $269.15 |
Health Alliance Plan Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $128.82 | Professional | None | $72.44 | $100.00 | $128.82 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $36.31 | $36.31 | $36.31 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $10.96 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 56 · Pre-op care only | $7.24 | $7.24 | $7.24 |
Priority Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Priority Health Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $125.89 | Professional | None | $91.20 | $100.00 | $125.89 |
United Setting Facility Modifier None Typical Low $131.83 Median $154.88 Typical High $186.21 | Facility | None | $131.83 | $154.88 | $186.21 |
United Setting Professional Modifier None Typical Low $46.77 Median $60.26 Typical High $87.10 | Professional | None | $46.77 | $60.26 | $87.10 |
Where Michigan sits
The same service costs 2.4 times more in Indiana than in Kentucky. 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· 20th of 51
$100
IN $162KY $67.61
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.