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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $70.79 | Professional | None | $63.10 | $63.10 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $35.48 | Professional | 52 · Reduced service | $30.90 | $30.90 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $14.13 | Professional | 53 · Discontinued | $12.59 | $12.59 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $10.47 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.31 | $6.31 | $7.08 |
BCBS Michigan Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
BCBS Michigan Setting Professional Modifier None Typical Low $83.18 Median $87.10 Typical High $87.10 | Professional | None | $83.18 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $125.89 | Professional | None | $37.15 | $37.15 | $125.89 |
Health Alliance Plan Setting Facility Modifier None Typical Low $70.79 Median $165.96 Typical High $181.97 | Facility | None | $70.79 | $165.96 | $181.97 |
Health Alliance Plan Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $70.79 | Professional | None | $52.48 | $70.79 | $70.79 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $32.36 | $34.67 | $34.67 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $12.88 | $14.13 | $14.13 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $10.47 Typical High $10.47 | Professional | 55 · Aftercare only | $9.55 | $10.47 | $10.47 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $7.08 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.46 | $7.08 | $7.08 |
Priority Health Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $100.00 | Professional | None | $37.15 | $37.15 | $100.00 |
United Setting Facility Modifier None Typical Low $87.10 Median $102.33 Typical High $123.03 | Facility | None | $87.10 | $102.33 | $123.03 |
United Setting Professional Modifier None Typical Low $12.02 Median $33.11 Typical High $52.48 | Professional | None | $12.02 | $33.11 | $52.48 |
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· 9th of 51
$70.79
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.