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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $75.86 Typical High $83.18 | Professional | None | $74.13 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $38.02 Typical High $41.69 | Professional | 52 · Reduced service | $36.31 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.14 Typical High $16.60 | Professional | 53 · Discontinued | $14.79 | $15.14 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $11.22 Typical High $12.30 | Professional | 55 · Aftercare only | $10.96 | $11.22 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.59 Typical High $8.32 | Professional | 56 · Pre-op care only | $7.41 | $7.59 | $8.32 |
BCBS Michigan Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
BCBS Michigan Setting Professional Modifier None Typical Low $97.72 Median $102.33 Typical High $102.33 | Professional | None | $97.72 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $147.91 | Professional | None | $48.98 | $48.98 | $147.91 |
Health Alliance Plan Setting Facility Modifier None Typical Low $83.18 Median $194.98 Typical High $213.80 | Facility | None | $83.18 | $194.98 | $213.80 |
Health Alliance Plan Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $83.18 | Professional | None | $61.66 | $83.18 | $83.18 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $12.30 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $8.32 |
Priority Health Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $117.49 | Professional | None | $48.98 | $48.98 | $117.49 |
United Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $162.18 | Facility | None | $117.49 | $138.04 | $162.18 |
United Setting Professional Modifier None Typical Low $12.02 Median $41.69 Typical High $61.66 | Professional | None | $12.02 | $41.69 | $61.66 |
Where Michigan sits
The same service costs 2.6 times more in Hawaii 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· 19th of 51
$83.18
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.