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 $602.56 Median $870.96 Typical High $6,918.31 | Facility | None | $602.56 | $870.96 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $616.60 Typical High $776.25 | Professional | None | $602.56 | $616.60 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $309.03 Typical High $389.05 | Professional | 52 · Reduced service | $302.00 | $309.03 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $154.88 | Professional | 53 · Discontinued | $123.03 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $467.74 Typical High $588.84 | Professional | 54 · Surgery only | $457.09 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $93.33 Typical High $117.49 | Professional | 55 · Aftercare only | $91.20 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $61.66 Typical High $77.62 | Professional | 56 · Pre-op care only | $60.26 | $61.66 | $77.62 |
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 $1,047.13 Median $2,398.83 Typical High $4,897.79 | Facility | None | $1,047.13 | $2,398.83 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $794.33 | Professional | None | $416.87 | $524.81 | $794.33 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $380.19 | $398.11 | $398.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $151.36 | $158.49 | $158.49 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $562.34 | $588.84 | $588.84 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $112.20 | $117.49 | $117.49 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $75.86 | $79.43 | $79.43 |
United Setting Facility Modifier None Typical Low $660.69 Median $1,548.82 Typical High $7,943.28 | Facility | None | $660.69 | $1,548.82 | $7,943.28 |
United Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $812.83 | Professional | None | $426.58 | $524.81 | $812.83 |
Where Michigan sits
The same service costs 14.8 times more in Texas than in Maine. 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· 41st of 51
$617
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.