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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.88 Typical High $38.02 | Professional | None | $33.11 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $16.98 Typical High $19.05 | Professional | 52 · Reduced service | $16.98 | $16.98 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $7.59 | Professional | 53 · Discontinued | $6.76 | $6.76 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.13 Typical High $5.75 | Professional | 55 · Aftercare only | $5.01 | $5.13 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.39 Typical High $3.80 | Professional | 56 · Pre-op care only | $3.39 | $3.39 | $3.80 |
BCBS Michigan Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
BCBS Michigan Setting Professional Modifier None Typical Low $44.67 Median $46.77 Typical High $46.77 | Professional | None | $44.67 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $67.61 | Professional | None | $19.95 | $19.95 | $67.61 |
Health Alliance Plan Setting Facility Modifier None Typical Low $38.02 Median $89.13 Typical High $97.72 | Facility | None | $38.02 | $89.13 | $97.72 |
Health Alliance Plan Setting Professional Modifier None Typical Low $28.18 Median $38.02 Typical High $38.02 | Professional | None | $28.18 | $38.02 | $38.02 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $17.38 | $19.05 | $19.05 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $6.92 | $7.59 | $7.59 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $5.75 Typical High $5.75 | Professional | 55 · Aftercare only | $5.25 | $5.75 | $5.75 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.80 Typical High $3.80 | Professional | 56 · Pre-op care only | $3.47 | $3.80 | $3.80 |
Priority Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $54.95 | Professional | None | $19.95 | $19.95 | $54.95 |
United Setting Facility Modifier None Typical Low $46.77 Median $54.95 Typical High $66.07 | Facility | None | $46.77 | $54.95 | $66.07 |
United Setting Professional Modifier None Typical Low $10.00 Median $18.20 Typical High $28.18 | Professional | None | $10.00 | $18.20 | $28.18 |
Where Michigan sits
The same service costs 3.2 times more in Montana than in Indiana. 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· 14th of 51
$38.02
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.