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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $52.48 | Professional | None | $45.71 | $46.77 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $23.44 Typical High $25.70 | Professional | 52 · Reduced service | $22.91 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.55 Typical High $10.47 | Professional | 53 · Discontinued | $9.33 | $9.55 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $7.08 Typical High $7.76 | Professional | 55 · Aftercare only | $6.92 | $7.08 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.68 Typical High $5.25 | Professional | 56 · Pre-op care only | $4.57 | $4.68 | $5.25 |
BCBS Michigan Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
BCBS Michigan Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $64.57 | Professional | None | $60.26 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $93.33 | Professional | None | $28.84 | $28.84 | $93.33 |
Health Alliance Plan Setting Facility Modifier None Typical Low $51.29 Median $123.03 Typical High $134.90 | Facility | None | $51.29 | $123.03 | $134.90 |
Health Alliance Plan Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $52.48 | Professional | None | $38.90 | $51.29 | $52.48 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.12 | $25.70 | $25.70 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $10.00 | $10.47 | $10.47 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.76 Typical High $7.76 | Professional | 55 · Aftercare only | $7.41 | $7.76 | $7.76 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.13 Typical High $5.13 | Professional | 56 · Pre-op care only | $5.01 | $5.13 | $5.13 |
Priority Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $74.13 | Professional | None | $28.84 | $28.84 | $74.13 |
United Setting Facility Modifier None Typical Low $67.61 Median $79.43 Typical High $95.50 | Facility | None | $67.61 | $79.43 | $95.50 |
United Setting Professional Modifier None Typical Low $10.00 Median $25.12 Typical High $38.90 | Professional | None | $10.00 | $25.12 | $38.90 |
Where Michigan sits
The same service costs 2.6 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· 15th of 51
$51.29
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.