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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $53.70 Typical High $60.26 | Professional | None | $51.29 | $53.70 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $26.92 Typical High $29.51 | Professional | 52 · Reduced service | $25.70 | $26.92 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.72 Typical High $12.02 | Professional | 53 · Discontinued | $10.47 | $10.72 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.94 Typical High $8.91 | Professional | 55 · Aftercare only | $7.76 | $7.94 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.37 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.13 | $5.37 | $6.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
BCBS Michigan Setting Professional Modifier None Typical Low $67.61 Median $72.44 Typical High $72.44 | Professional | None | $67.61 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $104.71 | Professional | None | $35.48 | $35.48 | $104.71 |
Health Alliance Plan Setting Facility Modifier None Typical Low $58.88 Median $138.04 Typical High $151.36 | Facility | None | $58.88 | $138.04 | $151.36 |
Health Alliance Plan Setting Professional Modifier None Typical Low $43.65 Median $58.88 Typical High $58.88 | Professional | None | $43.65 | $58.88 | $58.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.75 | $11.75 | $11.75 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $8.71 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $5.75 |
Priority Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $83.18 | Professional | None | $35.48 | $35.48 | $83.18 |
United Setting Facility Modifier None Typical Low $83.18 Median $97.72 Typical High $117.49 | Facility | None | $83.18 | $97.72 | $117.49 |
United Setting Professional Modifier None Typical Low $12.02 Median $30.20 Typical High $43.65 | Professional | None | $12.02 | $30.20 | $43.65 |
Where Michigan sits
The same service costs 2.9 times more in Hawaii 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· 20th of 51
$58.88
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.