How much rates vary
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 $275.42 Median $4,897.79 Typical High $6,918.31 | Facility | None | $275.42 | $4,897.79 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $281.84 Typical High $354.81 | Professional | None | $275.42 | $281.84 | $354.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | 52 · Reduced service | $138.04 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $56.23 Typical High $70.79 | Professional | 53 · Discontinued | $54.95 | $56.23 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $208.93 Typical High $269.15 | Professional | 54 · Surgery only | $204.17 | $208.93 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $41.69 Typical High $53.70 | Professional | 55 · Aftercare only | $40.74 | $41.69 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $28.18 Typical High $35.48 | Professional | 56 · Pre-op care only | $27.54 | $28.18 | $35.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $21,379.62 Median $21,379.62 Typical High $21,379.62 | Facility | None | $21,379.62 | $21,379.62 | $21,379.62 |
BCBS Michigan Setting Professional Modifier None Typical Low $20,417.38 Median $21,379.62 Typical High $21,379.62 | Professional | None | $20,417.38 | $21,379.62 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $16,982.44 Median $16,982.44 Typical High $16,982.44 | Professional | None | $16,982.44 | $16,982.44 | $16,982.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,047.13 Median $6,918.31 Typical High $16,982.44 | Facility | None | $1,047.13 | $6,918.31 | $16,982.44 |
Health Alliance Plan Setting Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $588.84 | Professional | None | $380.19 | $416.87 | $588.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 54 · Surgery only | $288.40 | $288.40 | $288.40 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $57.54 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $38.02 |
Priority Health Setting Professional Modifier None Typical Low $16,982.44 Median $16,982.44 Typical High $16,982.44 | Professional | None | $16,982.44 | $16,982.44 | $16,982.44 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $10,000.00 Typical High $26,915.35 | Facility | None | $1,778.28 | $10,000.00 | $26,915.35 |
United Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $691.83 | Professional | None | $478.63 | $602.56 | $691.83 |
Where Michigan sits
The same service costs 57.5 times more in Arkansas 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· 46th of 51
$550
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.