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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.45 Typical High $16.22 | Professional | None | $14.13 | $14.45 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.41 Typical High $7.94 | Professional | 52 · Reduced service | $7.08 | $7.41 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.95 Typical High $3.24 | Professional | 53 · Discontinued | $2.82 | $2.95 | $3.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.19 Typical High $2.40 | Professional | 55 · Aftercare only | $2.14 | $2.19 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.48 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.45 | $1.48 | $1.62 |
BCBS Michigan Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
BCBS Michigan Setting Professional Modifier None Typical Low $18.62 Median $19.95 Typical High $19.95 | Professional | None | $18.62 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $28.84 | Professional | None | $9.33 | $9.33 | $28.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $16.22 Median $38.02 Typical High $41.69 | Facility | None | $16.22 | $38.02 | $41.69 |
Health Alliance Plan Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $16.22 | Professional | None | $13.18 | $16.22 | $16.22 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $7.76 | $7.94 | $7.94 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $3.09 | $3.24 | $3.24 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.29 Median $2.40 Typical High $2.40 | Professional | 55 · Aftercare only | $2.29 | $2.40 | $2.40 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.55 Median $1.58 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.55 | $1.58 | $1.58 |
Priority Health Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $22.91 | Professional | None | $9.33 | $9.33 | $22.91 |
United Setting Professional Modifier None Typical Low $7.94 Median $9.33 Typical High $12.02 | Professional | None | $7.94 | $9.33 | $12.02 |
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· 18th of 51
$16.22
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.