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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $93.33 | Professional | None | $83.18 | $83.18 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $46.77 | Professional | 52 · Reduced service | $41.69 | $41.69 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | 53 · Discontinued | $16.60 | $16.60 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $14.13 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $9.33 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $9.33 |
BCBS Michigan Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $109.65 Median $114.82 Typical High $114.82 | Professional | None | $109.65 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $165.96 | Professional | None | $52.48 | $52.48 | $165.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $93.33 Median $223.87 Typical High $239.88 | Facility | None | $93.33 | $223.87 | $239.88 |
Health Alliance Plan Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $93.33 | Professional | None | $69.18 | $93.33 | $93.33 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $45.71 | $46.77 | $46.77 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.20 | $18.62 | $18.62 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $13.80 | $14.13 | $14.13 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $9.12 | $9.33 | $9.33 |
Priority Health Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $134.90 | Professional | None | $52.48 | $52.48 | $134.90 |
United Setting Facility Modifier None Typical Low $123.03 Median $147.91 Typical High $173.78 | Facility | None | $123.03 | $147.91 | $173.78 |
United Setting Professional Modifier None Typical Low $15.14 Median $44.67 Typical High $69.18 | Professional | None | $15.14 | $44.67 | $69.18 |
Where Michigan sits
The same service costs 4.2 times more in Hawaii than in New York. 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· 14th of 51
$93.33
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.