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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $75.86 | Professional | None | $58.88 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $33.11 Typical High $37.15 | Professional | 52 · Reduced service | $29.51 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.49 Typical High $15.14 | Professional | 53 · Discontinued | $11.75 | $13.49 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $10.00 Typical High $11.22 | Professional | 55 · Aftercare only | $8.71 | $10.00 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.61 Typical High $7.59 | Professional | 56 · Pre-op care only | $5.89 | $6.61 | $7.59 |
BCBS Michigan Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
BCBS Michigan Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $93.33 | Professional | None | $87.10 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $134.90 | Professional | None | $33.88 | $33.88 | $134.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $75.86 Median $177.83 Typical High $194.98 | Facility | None | $75.86 | $177.83 | $194.98 |
Health Alliance Plan Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $75.86 | Professional | None | $56.23 | $75.86 | $75.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $32.36 | $37.15 | $37.15 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $12.88 | $15.14 | $15.14 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $9.55 | $11.22 | $11.22 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.46 | $7.59 | $7.59 |
Priority Health Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $107.15 | Professional | None | $33.88 | $33.88 | $107.15 |
United Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $114.82 | Facility | None | $81.28 | $95.50 | $114.82 |
United Setting Professional Modifier None Typical Low $10.00 Median $28.84 Typical High $56.23 | Professional | None | $10.00 | $28.84 | $56.23 |
Where Michigan sits
The same service costs 3.1 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· 8th of 51
$75.86
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.