How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $416.87 Typical High $467.74 | Professional | None | $398.11 | $416.87 | $467.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $208.93 Typical High $234.42 | Professional | 52 · Reduced service | $199.53 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $83.18 Typical High $93.33 | Professional | 53 · Discontinued | $81.28 | $83.18 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $63.10 Typical High $70.79 | Professional | 55 · Aftercare only | $60.26 | $63.10 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $41.69 Typical High $46.77 | Professional | 56 · Pre-op care only | $39.81 | $41.69 | $46.77 |
BCBS Michigan Setting Facility Modifier None Typical Low $691.83 Median $1,698.24 Typical High $3,235.94 | Facility | None | $691.83 | $1,698.24 | $3,235.94 |
BCBS Michigan Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $575.44 | Professional | None | $549.54 | $575.44 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $676.08 | Professional | None | $218.78 | $218.78 | $676.08 |
Health Alliance Plan Setting Facility Modifier None Typical Low $467.74 Median $1,096.48 Typical High $1,202.26 | Facility | None | $467.74 | $1,096.48 | $1,202.26 |
Health Alliance Plan Setting Professional Modifier None Typical Low $346.74 Median $467.74 Typical High $467.74 | Professional | None | $346.74 | $467.74 | $467.74 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $213.80 | $234.42 | $234.42 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $85.11 | $93.33 | $93.33 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $64.57 | $70.79 | $70.79 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $46.77 Typical High $46.77 | Professional | 56 · Pre-op care only | $42.66 | $46.77 | $46.77 |
Priority Health Setting Professional Modifier None Typical Low $218.78 Median $416.87 Typical High $478.63 | Professional | None | $218.78 | $416.87 | $478.63 |
United Setting Facility Modifier None Typical Low $512.86 Median $602.56 Typical High $724.44 | Facility | None | $512.86 | $602.56 | $724.44 |
United Setting Professional Modifier None Typical Low $186.21 Median $263.03 Typical High $346.74 | Professional | None | $186.21 | $263.03 | $346.74 |
Where Michigan sits
The same service costs 2.8 times more in Montana than in Florida. 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· 13th of 51
$468
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.