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 $186.21 Median $2,041.74 Typical High $4,897.79 | Facility | None | $186.21 | $2,041.74 | $4,897.79 |
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
BCBS Michigan Setting Professional Modifier None Typical Low $371.54 Median $1,862.09 Typical High $1,862.09 | Professional | None | $371.54 | $1,862.09 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,000.00 | Professional | None | $891.25 | $891.25 | $1,000.00 |
Health Alliance Plan Setting Facility Modifier None Typical Low $398.11 Median $2,041.74 Typical High $4,897.79 | Facility | None | $398.11 | $2,041.74 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $223.87 | Professional | None | $158.49 | $204.17 | $223.87 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $102.33 | $102.33 | $102.33 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $40.74 | $40.74 | $40.74 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 54 · Surgery only | $151.36 | $151.36 | $151.36 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $30.20 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $20.42 |
Priority Health Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,238.72 Typical High $6,918.31 | Facility | None | $851.14 | $2,238.72 | $6,918.31 |
United Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $281.84 | Professional | None | $177.83 | $190.55 | $281.84 |
Where Michigan sits
The same service costs 19.5 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
$204
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.