How much rates vary
Facilitymedian $35 · 10th to 90th $22 to $81Professionalmedian $27 · 10th to 90th $26 to $34
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 $26.92 Median $28.18 Typical High $83.18 | Facility | None | $26.92 | $28.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | 55 · Aftercare only | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | 56 · Pre-op care only | $2.69 | $2.69 | $2.69 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
BCBS Michigan Setting Facility Modifier None Typical Low $21.88 Median $30.20 Typical High $77.62 | Facility | None | $21.88 | $30.20 | $77.62 |
BCBS Michigan Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $24.55 | Professional | None | $18.20 | $21.88 | $24.55 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $19.50 Median $20.42 Typical High $20.42 | Professional | JW · Drug discarded | $19.50 | $20.42 | $20.42 |
CareSource Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $34.67 | Professional | None | $25.70 | $25.70 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $26.92 | Professional | None | $25.70 | $25.70 | $26.92 |
Health Alliance Plan Setting Facility Modifier None Typical Low $27.54 Median $74.13 Typical High $83.18 | Facility | None | $27.54 | $74.13 | $83.18 |
Health Alliance Plan Setting Professional Modifier None Typical Low $25.70 Median $26.92 Typical High $34.67 | Professional | None | $25.70 | $26.92 | $34.67 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $13.18 | $13.18 | $13.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.37 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | 55 · Aftercare only | $3.98 | $3.98 | $3.98 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.63 | $2.63 | $2.63 |
Priority Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $25.70 Median $28.84 Typical High $30.20 | Professional | None | $25.70 | $28.84 | $30.20 |
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· 9th of 51
$26.92
WY $36.31NC $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.