How much rates vary
Facilitymedian $135 · 10th to 90th $120 to $347Professionalmedian $126 · 10th to 90th $115 to $302
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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $30.20 |
BCBS Michigan Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
BCBS Michigan Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | None | $112.20 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $147.91 | Professional | None | $125.89 | $125.89 | $147.91 |
Health Alliance Plan Setting Facility Modifier None Typical Low $125.89 Median $134.90 Typical High $346.74 | Facility | None | $125.89 | $134.90 | $346.74 |
Health Alliance Plan Setting Professional Modifier None Typical Low $114.82 Median $117.49 Typical High $154.88 | Professional | None | $114.82 | $117.49 | $154.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $57.54 | $57.54 | $57.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $22.91 | $22.91 | $23.44 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $17.38 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $11.75 |
Priority Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $134.90 | Professional | None | $125.89 | $125.89 | $134.90 |
Where Michigan sits
The same service costs 2.3 times more in North Dakota than in North Carolina. 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· 13th of 51
$126
ND $224NC $95.50
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.