How much rates vary
Facilitymedian $1,585 · 10th to 90th $661 to $5,754Professionalmedian $676 · 10th to 90th $501 to $3,548
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 $602.56 Median $4,073.80 Typical High $5,754.40 | Facility | None | $602.56 | $4,073.80 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $776.25 | Professional | None | $501.19 | $616.60 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $309.03 Typical High $389.05 | Professional | 52 · Reduced service | $251.19 | $309.03 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $123.03 Typical High $154.88 | Professional | 53 · Discontinued | $100.00 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $467.74 Typical High $588.84 | Professional | 54 · Surgery only | $371.54 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $93.33 Typical High $117.49 | Professional | 55 · Aftercare only | $75.86 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $61.66 Typical High $77.62 | Professional | 56 · Pre-op care only | $50.12 | $61.66 | $77.62 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
BCBS Michigan Setting Professional Modifier None Typical Low $3,388.44 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,388.44 | $3,548.13 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $4,897.79 | Facility | None | $1,348.96 | $1,479.11 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $501.19 Median $549.54 Typical High $776.25 | Professional | None | $501.19 | $549.54 | $776.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 54 · Surgery only | $371.54 | $371.54 | $371.54 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 55 · Aftercare only | $74.13 | $74.13 | $74.13 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $50.12 |
Priority Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
United Setting Facility Modifier None Typical Low $660.69 Median $1,548.82 Typical High $6,456.54 | Facility | None | $660.69 | $1,548.82 | $6,456.54 |
United Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $891.25 | Professional | None | $616.60 | $776.25 | $891.25 |
Where Michigan sits
The same service costs 10.2 times more in Texas 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· 47th of 51
$724
TX $4,074NY $398
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.