How much rates vary
Facilitymedian $148 · 10th to 90th $100 to $257Professionalmedian $100 · 10th to 90th $58 to $123
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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $89.13 Typical High $100.00 | Professional | None | $87.10 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $44.67 Typical High $50.12 | Professional | 52 · Reduced service | $43.65 | $44.67 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.78 Typical High $19.95 | Professional | 53 · Discontinued | $17.38 | $17.78 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $15.14 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.91 Typical High $10.00 | Professional | 56 · Pre-op care only | $8.71 | $8.91 | $10.00 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
BCBS Michigan Setting Professional Modifier None Typical Low $117.49 Median $123.03 Typical High $123.03 | Professional | None | $117.49 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $177.83 | Professional | None | $52.48 | $52.48 | $177.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $100.00 Median $234.42 Typical High $257.04 | Facility | None | $100.00 | $234.42 | $257.04 |
Health Alliance Plan Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $100.00 | Professional | None | $74.13 | $100.00 | $100.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $45.71 | $50.12 | $50.12 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $18.20 | $19.95 | $19.95 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $13.80 | $15.14 | $15.14 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $9.12 | $10.00 | $10.00 |
Priority Health Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $144.54 | Professional | None | $52.48 | $52.48 | $144.54 |
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 $44.67 Median $56.23 Typical High $74.13 | Professional | None | $44.67 | $56.23 | $74.13 |
Where Michigan sits
The same service costs 3.2 times more in Hawaii than in Arizona. 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
$100
HI $166AZ $52.48
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.