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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $38.90 | Professional | None | $34.67 | $36.31 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.78 Typical High $19.50 | Professional | 52 · Reduced service | $17.38 | $17.78 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.24 Typical High $7.76 | Professional | 53 · Discontinued | $6.92 | $7.24 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $5.37 Typical High $5.89 | Professional | 55 · Aftercare only | $5.25 | $5.37 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.63 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.47 | $3.63 | $3.89 |
BCBS Michigan Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
BCBS Michigan Setting Professional Modifier None Typical Low $45.71 Median $48.98 Typical High $48.98 | Professional | None | $45.71 | $48.98 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $70.79 | Professional | None | $22.39 | $22.39 | $70.79 |
Health Alliance Plan Setting Facility Modifier None Typical Low $38.90 Median $93.33 Typical High $100.00 | Facility | None | $38.90 | $93.33 | $100.00 |
Health Alliance Plan Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $38.90 | Professional | None | $28.84 | $38.90 | $38.90 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $18.20 | $19.50 | $19.50 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.24 | $7.76 | $7.76 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $5.89 Typical High $5.89 | Professional | 55 · Aftercare only | $5.50 | $5.89 | $5.89 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.89 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.63 | $3.89 | $3.89 |
Priority Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $56.23 | Professional | None | $22.39 | $22.39 | $56.23 |
United Setting Facility Modifier None Typical Low $52.48 Median $61.66 Typical High $74.13 | Facility | None | $52.48 | $61.66 | $74.13 |
United Setting Professional Modifier None Typical Low $10.00 Median $19.05 Typical High $28.84 | Professional | None | $10.00 | $19.05 | $28.84 |
Where Michigan sits
The same service costs 3.3 times more in Montana than in Missouri. 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· 18th of 51
$38.90
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.