How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $380.19 Median $380.19 Typical High $660.69 | Facility | None | $380.19 | $380.19 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $660.69 | Professional | None | $380.19 | $380.19 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $331.13 | Professional | 52 · Reduced service | $190.55 | $190.55 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $134.90 | Professional | 53 · Discontinued | $75.86 | $75.86 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $100.00 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $66.07 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $66.07 |
BCBS Michigan Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
BCBS Michigan Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $660.69 | Professional | None | $630.96 | $660.69 | $660.69 |
CareSource Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $489.78 | Professional | None | $316.23 | $371.54 | $489.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $380.19 Median $1,318.26 Typical High $1,412.54 | Facility | None | $380.19 | $1,318.26 | $1,412.54 |
Health Alliance Plan Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $676.08 | Professional | None | $380.19 | $537.03 | $676.08 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $57.54 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $38.02 |
Priority Health Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Priority Health Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $588.84 | Professional | None | $316.23 | $371.54 | $588.84 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $457.09 | Professional | None | $251.19 | $316.23 | $457.09 |
Where Michigan sits
The same service costs 2.6 times more in Montana than in New York. 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
$479
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.