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 $18.20 Median $18.20 Typical High $31.62 | Facility | None | $18.20 | $18.20 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $31.62 | Professional | None | $18.20 | $18.20 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $9.12 Typical High $15.85 | Professional | 52 · Reduced service | $9.12 | $9.12 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $6.31 | Professional | 53 · Discontinued | $3.63 | $3.63 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.69 Typical High $4.79 | Professional | 55 · Aftercare only | $2.69 | $2.69 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.82 Typical High $3.16 | Professional | 56 · Pre-op care only | $1.82 | $1.82 | $3.16 |
BCBS Michigan Setting Facility Modifier None Typical Low $38.02 Median $93.33 Typical High $177.83 | Facility | None | $38.02 | $93.33 | $177.83 |
BCBS Michigan Setting Professional Modifier None Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | None | $30.20 | $31.62 | $31.62 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $35.48 | Professional | None | $21.38 | $25.12 | $35.48 |
Health Alliance Plan Setting Facility Modifier None Typical Low $18.20 Median $61.66 Typical High $67.61 | Facility | None | $18.20 | $61.66 | $67.61 |
Health Alliance Plan Setting Professional Modifier None Typical Low $18.20 Median $25.12 Typical High $32.36 | Professional | None | $18.20 | $25.12 | $32.36 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 52 · Reduced service | $9.12 | $9.12 | $9.12 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $3.63 | $3.63 | $3.63 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | 55 · Aftercare only | $2.69 | $2.69 | $2.69 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.82 | $1.82 | $1.82 |
Priority Health Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Priority Health Setting Professional Modifier None Typical Low $22.91 Median $25.12 Typical High $31.62 | Professional | None | $22.91 | $25.12 | $31.62 |
United Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $45.71 | Facility | None | $32.36 | $38.90 | $45.71 |
United Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $21.88 | Professional | None | $11.75 | $15.14 | $21.88 |
Where Michigan sits
The same service costs 2.1 times more in Minnesota 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· 17th of 51
$25.12
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.