How much rates vary
Facilitymedian $4,898 · 10th to 90th $1,047 to $12,023Professionalmedian $776 · 10th to 90th $324 to $18,197
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 $316.23 Median $4,897.79 Typical High $6,918.31 | Facility | None | $316.23 | $4,897.79 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $323.59 Typical High $416.87 | Professional | None | $316.23 | $323.59 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $162.18 Typical High $208.93 | Professional | 52 · Reduced service | $158.49 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $83.18 | Professional | 53 · Discontinued | $64.57 | $64.57 | $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 $63.10 | Professional | 55 · Aftercare only | $47.86 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $32.36 Typical High $41.69 | Professional | 56 · Pre-op care only | $31.62 | $32.36 | $41.69 |
BCBS Michigan Setting Facility Modifier None Typical Low $18,197.01 Median $18,197.01 Typical High $18,197.01 | Facility | None | $18,197.01 | $18,197.01 | $18,197.01 |
BCBS Michigan Setting Professional Modifier None Typical Low $17,378.01 Median $18,197.01 Typical High $18,197.01 | Professional | None | $17,378.01 | $18,197.01 | $18,197.01 |
Cigna Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | None | $7,079.46 | $7,079.46 | $7,079.46 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,584.89 Median $6,760.83 Typical High $6,918.31 | Facility | None | $1,584.89 | $6,760.83 | $6,918.31 |
Health Alliance Plan Setting Professional Modifier None Typical Low $426.58 Median $645.65 Typical High $891.25 | Professional | None | $426.58 | $645.65 | $891.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $316.23 | $316.23 | $316.23 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
Priority Health Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | None | $7,079.46 | $7,079.46 | $7,079.46 |
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 $691.83 Median $891.25 Typical High $1,023.29 | Professional | None | $691.83 | $891.25 | $1,023.29 |
Where Michigan sits
The same service costs 27.5 times more in Oklahoma 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· 43rd of 51
$832
OK $14,454NY $525
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.