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 $60.26 Median $61.66 Typical High $67.61 | Professional | None | $60.26 | $61.66 | $67.61 |
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 $12.02 Median $12.30 Typical High $13.49 | Professional | 53 · Discontinued | $12.02 | $12.30 | $13.49 |
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 $6.76 | Professional | 56 · Pre-op care only | $6.03 | $6.17 | $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 $39.81 Median $39.81 Typical High $120.23 | Professional | None | $39.81 | $39.81 | $120.23 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $33.88 |
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 $10.23 Median $10.23 Typical High $10.23 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $10.23 |
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 $39.81 Median $39.81 Typical High $97.72 | Professional | None | $39.81 | $39.81 | $97.72 |
United Setting Facility Modifier None Typical Low $93.33 Median $109.65 Typical High $131.83 | Facility | None | $93.33 | $109.65 | $131.83 |
United Setting Professional Modifier None Typical Low $15.14 Median $33.88 Typical High $50.12 | Professional | None | $15.14 | $33.88 | $50.12 |
Where Michigan sits
The same service costs 2.7 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· 21st 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.