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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $70.79 Typical High $77.62 | Professional | None | $69.18 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $35.48 Typical High $38.90 | Professional | 52 · Reduced service | $34.67 | $35.48 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.13 Typical High $15.49 | Professional | 53 · Discontinued | $13.80 | $14.13 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.72 Typical High $11.75 | Professional | 55 · Aftercare only | $10.47 | $10.72 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.08 Typical High $7.76 | Professional | 56 · Pre-op care only | $6.92 | $7.08 | $7.76 |
BCBS Michigan Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
BCBS Michigan Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $95.50 | Professional | None | $91.20 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $138.04 | Professional | None | $46.77 | $46.77 | $138.04 |
Health Alliance Plan Setting Facility Modifier None Typical Low $77.62 Median $186.21 Typical High $199.53 | Facility | None | $77.62 | $186.21 | $199.53 |
Health Alliance Plan Setting Professional Modifier None Typical Low $57.54 Median $77.62 Typical High $77.62 | Professional | None | $57.54 | $77.62 | $77.62 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $38.90 | $38.90 | $38.90 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $11.75 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $7.76 |
Priority Health Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $112.20 | Professional | None | $46.77 | $46.77 | $112.20 |
United Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $158.49 | Facility | None | $112.20 | $131.83 | $158.49 |
United Setting Professional Modifier None Typical Low $15.14 Median $39.81 Typical High $57.54 | Professional | None | $15.14 | $39.81 | $57.54 |
Where Michigan sits
The same service costs 2.5 times more in Montana than in Missouri. 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· 23rd of 51
$77.62
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.