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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | None | $102.33 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $22.91 | Professional | 53 · Discontinued | $20.42 | $20.42 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $16.98 | Professional | 55 · Aftercare only | $15.14 | $15.14 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.23 Typical High $11.48 | Professional | 56 · Pre-op care only | $10.23 | $10.23 | $11.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
BCBS Michigan Setting Professional Modifier None Typical Low $134.90 Median $141.25 Typical High $141.25 | Professional | None | $134.90 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $162.18 | Professional | None | $48.98 | $69.18 | $162.18 |
Health Alliance Plan Setting Facility Modifier None Typical Low $114.82 Median $269.15 Typical High $295.12 | Facility | None | $114.82 | $269.15 | $295.12 |
Health Alliance Plan Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $114.82 | Professional | None | $85.11 | $114.82 | $114.82 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $57.54 | $57.54 | $57.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $22.91 | $22.91 | $22.91 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $16.98 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $11.48 |
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 $162.18 Median $190.55 Typical High $229.09 | Facility | None | $162.18 | $190.55 | $229.09 |
United Setting Professional Modifier None Typical Low $15.14 Median $58.88 Typical High $85.11 | Professional | None | $15.14 | $58.88 | $85.11 |
Where Michigan sits
The same service costs 3.0 times more in Hawaii than in Indiana. 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
$115
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.