How much rates vary
Facilitymedian $110 · 10th to 90th $51 to $240Professionalmedian $44 · 10th to 90th $25 to $51
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 $46.77 Median $46.77 Typical High $47.86 | Facility | None | $46.77 | $46.77 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $47.86 Typical High $51.29 | Professional | None | $46.77 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $22.91 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $9.33 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | 54 · Surgery only | $34.67 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $7.24 Typical High $7.24 | Professional | 55 · Aftercare only | $6.92 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.79 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.68 | $4.79 | $4.79 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $30.90 Typical High $43.65 | Professional | None | $25.12 | $30.90 | $43.65 |
BCBS Michigan Setting Facility Modifier None Typical Low $61.66 Median $144.54 Typical High $275.42 | Facility | None | $61.66 | $144.54 | $275.42 |
BCBS Michigan Setting Professional Modifier None Typical Low $48.98 Median $51.29 Typical High $51.29 | Professional | None | $48.98 | $51.29 | $51.29 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $72.44 | Professional | None | $51.29 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $30.20 Typical High $30.20 | Professional | None | $21.38 | $30.20 | $30.20 |
Health Alliance Plan Setting Facility Modifier None Typical Low $38.02 Median $95.50 Typical High $102.33 | Facility | None | $38.02 | $95.50 | $102.33 |
Health Alliance Plan Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $52.48 | Professional | None | $34.67 | $38.90 | $52.48 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $19.50 | $19.50 | $19.50 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.76 | $7.76 | $7.76 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 54 · Surgery only | $29.51 | $29.51 | $29.51 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | 55 · Aftercare only | $5.89 | $5.89 | $5.89 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $3.89 |
Priority Health Setting Professional Modifier None Typical Low $21.38 Median $30.20 Typical High $30.20 | Professional | None | $21.38 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $29.51 | Professional | None | $18.20 | $23.99 | $29.51 |
Where Michigan sits
The same service costs 2.6 times more in Hawaii 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· 12th of 51
$44.67
HI $54.95NY $20.89
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.