How much rates vary
Facilitymedian $4,786 · 10th to 90th $355 to $10,233Professionalmedian $78 · 10th to 90th $49 to $7,943
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 $281.84 Median $4,786.30 Typical High $6,918.31 | Facility | None | $281.84 | $4,786.30 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $354.81 | Professional | None | $239.88 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $141.25 Typical High $177.83 | Professional | 52 · Reduced service | $120.23 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $57.54 Typical High $72.44 | Professional | 53 · Discontinued | $47.86 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $213.80 Typical High $269.15 | Professional | 54 · Surgery only | $177.83 | $213.80 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $42.66 Typical High $53.70 | Professional | 55 · Aftercare only | $35.48 | $42.66 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $28.84 Typical High $35.48 | Professional | 56 · Pre-op care only | $23.99 | $28.84 | $35.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
BCBS Michigan Setting Professional Modifier None Typical Low $7,585.78 Median $7,943.28 Typical High $7,943.28 | Professional | None | $7,585.78 | $7,943.28 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,623.41 | $5,623.41 | $5,623.41 |
Health Alliance Plan Setting Facility Modifier None Typical Low $131.83 Median $4,786.30 Typical High $5,248.07 | Facility | None | $131.83 | $4,786.30 | $5,248.07 |
Health Alliance Plan Setting Professional Modifier None Typical Low $48.98 Median $64.57 Typical High $354.81 | Professional | None | $48.98 | $64.57 | $354.81 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $177.83 | $177.83 | $177.83 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $70.79 | $70.79 | $70.79 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 54 · Surgery only | $263.03 | $263.03 | $263.03 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $53.70 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $35.48 |
Priority Health Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,623.41 | $5,623.41 | $5,623.41 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $4,466.84 Typical High $11,481.54 | Facility | None | $1,047.13 | $4,466.84 | $11,481.54 |
United Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $123.03 | Professional | None | $60.26 | $72.44 | $123.03 |
Where Michigan sits
The same service costs 93.3 times more in Oregon than in Vermont. 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· 44th of 51
$282
OR $7,244VT $77.62
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.