How much rates vary
Facilitymedian $83 · 10th to 90th $51 to $132Professionalmedian $51 · 10th to 90th $26 to $63
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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $51.29 | Professional | None | $45.71 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $23.44 Typical High $25.70 | Professional | 52 · Reduced service | $22.39 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.33 Typical High $10.23 | Professional | 53 · Discontinued | $9.12 | $9.33 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $7.08 Typical High $7.59 | Professional | 55 · Aftercare only | $6.76 | $7.08 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.68 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.47 | $4.68 | $5.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
BCBS Michigan Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $63.10 | Professional | None | $60.26 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $91.20 | Professional | None | $30.20 | $30.20 | $91.20 |
Health Alliance Plan Setting Facility Modifier None Typical Low $51.29 Median $120.23 Typical High $131.83 | Facility | None | $51.29 | $120.23 | $131.83 |
Health Alliance Plan Setting Professional Modifier None Typical Low $38.02 Median $51.29 Typical High $51.29 | Professional | None | $38.02 | $51.29 | $51.29 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $24.55 | $25.70 | $25.70 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.00 | $10.23 | $10.23 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.59 Typical High $7.59 | Professional | 55 · Aftercare only | $7.41 | $7.59 | $7.59 |
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 $30.20 Median $30.20 Typical High $72.44 | Professional | None | $30.20 | $30.20 | $72.44 |
United Setting Facility Modifier None Typical Low $70.79 Median $83.18 Typical High $100.00 | Facility | None | $70.79 | $83.18 | $100.00 |
United Setting Professional Modifier None Typical Low $12.02 Median $25.70 Typical High $38.02 | Professional | None | $12.02 | $25.70 | $38.02 |
Where Michigan sits
The same service costs 2.8 times more in Montana than in Ohio. 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· 21st of 51
$51.29
MT $83.18OH $30.20
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.