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 $323.59 Median $870.96 Typical High $6,918.31 | Facility | None | $323.59 | $870.96 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $331.13 Typical High $407.38 | Professional | None | $323.59 | $331.13 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $204.17 | Professional | 52 · Reduced service | $162.18 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $66.07 Typical High $83.18 | Professional | 53 · Discontinued | $64.57 | $66.07 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $245.47 Typical High $309.03 | Professional | 54 · Surgery only | $239.88 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $48.98 Typical High $61.66 | Professional | 55 · Aftercare only | $47.86 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $33.11 Typical High $41.69 | Professional | 56 · Pre-op care only | $32.36 | $33.11 | $41.69 |
BCBS Michigan Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
BCBS Michigan Setting Professional Modifier None Typical Low $9,549.93 Median $10,000.00 Typical High $10,000.00 | Professional | None | $9,549.93 | $10,000.00 | $10,000.00 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,288.25 Median $4,365.16 Typical High $4,897.79 | Facility | None | $1,288.25 | $4,365.16 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $724.44 | Professional | None | $398.11 | $512.86 | $724.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $79.43 | $79.43 | $79.43 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 54 · Surgery only | $295.12 | $295.12 | $295.12 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $58.88 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $39.81 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $4,466.84 Typical High $12,302.69 | Facility | None | $1,047.13 | $4,466.84 | $12,302.69 |
United Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $616.60 | Professional | None | $389.05 | $489.78 | $616.60 |
Where Michigan sits
The same service costs 16.2 times more in Arkansas than in West Virginia. 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.