How much rates vary
Facilitymedian $5 · 10th to 90th $2 to $15Professionalmedian $2 · 10th to 90th $0 to $2
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 $1.95 Median $4.68 Typical High $5.25 | Facility | None | $1.95 | $4.68 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | None | $1.95 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | 52 · Reduced service | $0.98 | $0.98 | $0.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.39 Median $0.39 Typical High $0.39 | Professional | 53 · Discontinued | $0.39 | $0.39 | $0.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 55 · Aftercare only | $0.28 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.19 Median $0.19 Typical High $0.19 | Professional | 56 · Pre-op care only | $0.19 | $0.19 | $0.19 |
BCBS Michigan Setting Facility Modifier None Typical Low $2.00 Median $3.89 Typical High $7.59 | Facility | None | $2.00 | $3.89 | $7.59 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.33 Median $0.35 Typical High $0.35 | Professional | None | $0.33 | $0.35 | $0.35 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $2.14 | Professional | None | $1.86 | $1.86 | $2.14 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2.04 Median $5.25 Typical High $16.98 | Facility | None | $2.04 | $5.25 | $16.98 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1.70 Median $1.86 Typical High $2.51 | Professional | None | $1.70 | $1.86 | $2.51 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | 52 · Reduced service | $0.85 | $0.85 | $0.85 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.34 Median $0.34 Typical High $0.34 | Professional | 53 · Discontinued | $0.34 | $0.34 | $0.34 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.25 Median $0.25 Typical High $0.25 | Professional | 55 · Aftercare only | $0.25 | $0.25 | $0.25 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 56 · Pre-op care only | $0.17 | $0.17 | $0.17 |
Priority Health Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $2.19 | Professional | None | $1.86 | $1.86 | $2.19 |
United Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $1.70 | Professional | None | $1.66 | $1.66 | $1.70 |
Where Michigan sits
Rates are fairly even across states for this service. 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· 47th of 51
$1.70
AK $2.29MD $1.66
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.