How much rates vary
Facilitymedian $107 · 10th to 90th $71 to $186Professionalmedian $71 · 10th to 90th $38 to $87
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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $70.79 | Professional | None | $63.10 | $63.10 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $31.62 Typical High $35.48 | Professional | 52 · Reduced service | $31.62 | $31.62 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $14.13 | Professional | 53 · Discontinued | $12.59 | $12.59 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $10.72 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.31 | $6.31 | $7.08 |
BCBS Michigan Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
BCBS Michigan Setting Professional Modifier None Typical Low $83.18 Median $87.10 Typical High $87.10 | Professional | None | $83.18 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $102.33 | Professional | None | $38.02 | $38.02 | $102.33 |
Health Alliance Plan Setting Facility Modifier None Typical Low $70.79 Median $169.82 Typical High $186.21 | Facility | None | $70.79 | $169.82 | $186.21 |
Health Alliance Plan Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $72.44 | Professional | None | $52.48 | $70.79 | $72.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.72 Typical High $10.72 | Professional | 55 · Aftercare only | $10.47 | $10.72 | $10.72 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $7.08 |
Priority Health Setting Professional Modifier None Typical Low $38.02 Median $58.88 Typical High $72.44 | Professional | None | $38.02 | $58.88 | $72.44 |
United Setting Facility Modifier None Typical Low $91.20 Median $107.15 Typical High $128.82 | Facility | None | $91.20 | $107.15 | $128.82 |
United Setting Professional Modifier None Typical Low $19.05 Median $33.88 Typical High $52.48 | Professional | None | $19.05 | $33.88 | $52.48 |
Where Michigan sits
The same service costs 2.8 times more in Montana 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
$70.79
MT $100NY $35.48
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.