How much rates vary
Facilitymedian $2,042 · 10th to 90th $794 to $6,918Professionalmedian $759 · 10th to 90th $191 to $4,169
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 $186.21 Median $239.88 Typical High $6,918.31 | Facility | None | $186.21 | $239.88 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $190.55 Typical High $239.88 | Professional | None | $186.21 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $95.50 Typical High $120.23 | Professional | 52 · Reduced service | $93.33 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $47.86 | Professional | 53 · Discontinued | $37.15 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $141.25 Typical High $177.83 | Professional | 54 · Surgery only | $141.25 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.84 Typical High $35.48 | Professional | 55 · Aftercare only | $28.18 | $28.84 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $19.05 Typical High $23.99 | Professional | 56 · Pre-op care only | $18.62 | $19.05 | $23.99 |
BCBS Michigan Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
BCBS Michigan Setting Professional Modifier None Typical Low $3,981.07 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,981.07 | $4,168.69 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $4,897.79 | Facility | None | $1,698.24 | $1,995.26 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $245.47 Median $691.83 Typical High $933.25 | Professional | None | $245.47 | $691.83 | $933.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $123.03 | $123.03 | $123.03 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $50.12 | $50.12 | $50.12 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 54 · Surgery only | $186.21 | $186.21 | $186.21 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $37.15 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $24.55 |
Priority Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,238.72 Typical High $7,762.47 | Facility | None | $851.14 | $2,238.72 | $7,762.47 |
United Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $1,071.52 | Professional | None | $645.65 | $776.25 | $1,071.52 |
Where Michigan sits
The same service costs 12.6 times more in Ohio than in Nebraska. 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· 42nd of 51
$794
OH $2,692NE $214
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.