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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | None | $58.88 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $29.51 Typical High $33.11 | Professional | 52 · Reduced service | $29.51 | $29.51 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $13.49 | Professional | 53 · Discontinued | $12.02 | $12.02 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $8.91 Typical High $10.00 | Professional | 55 · Aftercare only | $8.91 | $8.91 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $6.76 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $6.76 |
BCBS Michigan Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
BCBS Michigan Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $83.18 | Professional | None | $79.43 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $95.50 | Professional | None | $38.02 | $38.02 | $95.50 |
Health Alliance Plan Setting Facility Modifier None Typical Low $67.61 Median $158.49 Typical High $173.78 | Facility | None | $67.61 | $158.49 | $173.78 |
Health Alliance Plan Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $67.61 | Professional | None | $50.12 | $67.61 | $67.61 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $33.11 | $33.11 | $33.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $13.49 | $13.49 | $13.49 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $10.00 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $6.76 |
Priority Health Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $69.18 | Professional | None | $38.02 | $54.95 | $69.18 |
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 $15.14 Median $32.36 Typical High $50.12 | Professional | None | $15.14 | $32.36 | $50.12 |
Where Michigan sits
The same service costs 2.7 times more in Hawaii than in Utah. 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
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.