How much rates vary
Facilitymedian $105 · 10th to 90th $68 to $178Professionalmedian $68 · 10th to 90th $32 to $85
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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $61.66 Typical High $69.18 | Professional | None | $60.26 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.90 Typical High $33.88 | Professional | 52 · Reduced service | $30.20 | $30.90 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $13.80 | Professional | 53 · Discontinued | $12.30 | $12.30 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.33 Typical High $10.23 | Professional | 55 · Aftercare only | $9.12 | $9.33 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.17 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.03 | $6.17 | $6.92 |
BCBS Michigan Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
BCBS Michigan Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | None | $79.43 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $123.03 | Professional | None | $38.02 | $38.02 | $123.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $67.61 Median $162.18 Typical High $177.83 | Facility | None | $67.61 | $162.18 | $177.83 |
Health Alliance Plan Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $67.61 | Professional | None | $51.29 | $67.61 | $67.61 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $33.11 | $33.88 | $33.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.18 | $13.80 | $13.80 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.23 Typical High $10.23 | Professional | 55 · Aftercare only | $10.00 | $10.23 | $10.23 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.92 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.61 | $6.92 | $6.92 |
Priority Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $97.72 | Professional | None | $38.02 | $38.02 | $97.72 |
United Setting Facility Modifier None Typical Low $89.13 Median $104.71 Typical High $125.89 | Facility | None | $89.13 | $104.71 | $125.89 |
United Setting Professional Modifier None Typical Low $12.02 Median $32.36 Typical High $51.29 | Professional | None | $12.02 | $32.36 | $51.29 |
Where Michigan sits
The same service costs 2.6 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· 18th of 51
$67.61
MT $100OH $38.02
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.