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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $41.69 Typical High $45.71 | Professional | None | $40.74 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.89 Typical High $22.91 | Professional | 52 · Reduced service | $20.42 | $20.89 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.32 Typical High $9.12 | Professional | 53 · Discontinued | $8.13 | $8.32 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.31 Typical High $6.92 | Professional | 55 · Aftercare only | $6.17 | $6.31 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.17 Typical High $4.57 | Professional | 56 · Pre-op care only | $4.07 | $4.17 | $4.57 |
BCBS Michigan Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
BCBS Michigan Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $56.23 | Professional | None | $53.70 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $83.18 | Professional | None | $25.70 | $25.70 | $83.18 |
Health Alliance Plan Setting Facility Modifier None Typical Low $45.71 Median $109.65 Typical High $117.49 | Facility | None | $45.71 | $109.65 | $117.49 |
Health Alliance Plan Setting Professional Modifier None Typical Low $33.88 Median $45.71 Typical High $46.77 | Professional | None | $33.88 | $45.71 | $46.77 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $22.91 | $22.91 | $22.91 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $6.92 Typical High $6.92 | Professional | 55 · Aftercare only | $6.76 | $6.92 | $6.92 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | 56 · Pre-op care only | $4.57 | $4.57 | $4.57 |
Priority Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $66.07 | Professional | None | $25.70 | $25.70 | $66.07 |
United Setting Facility Modifier None Typical Low $60.26 Median $70.79 Typical High $85.11 | Facility | None | $60.26 | $70.79 | $85.11 |
United Setting Professional Modifier None Typical Low $10.00 Median $22.39 Typical High $33.88 | Professional | None | $10.00 | $22.39 | $33.88 |
Where Michigan sits
The same service costs 3.0 times more in Hawaii 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· 17th of 51
$45.71
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.