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 $2,041.74 Median $2,089.30 Typical High $4,897.79 | Facility | None | $2,041.74 | $2,089.30 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,691.53 | Professional | None | $2,089.30 | $2,089.30 | $2,691.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,023.29 Median $1,047.13 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,023.29 | $1,047.13 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $426.58 Typical High $537.03 | Professional | 53 · Discontinued | $416.87 | $426.58 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,584.89 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,548.82 | $1,584.89 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $316.23 Typical High $407.38 | Professional | 55 · Aftercare only | $309.03 | $316.23 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $269.15 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $269.15 |
BCBS Michigan Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
BCBS Michigan Setting Professional Modifier None Typical Low $269.15 Median $1,584.89 Typical High $1,584.89 | Professional | None | $269.15 | $1,584.89 | $1,584.89 |
Health Alliance Plan Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $4,897.79 | Facility | None | $602.56 | $602.56 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,513.56 | $1,513.56 | $1,513.56 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 53 · Discontinued | $602.56 | $602.56 | $602.56 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | 54 · Surgery only | $2,290.87 | $2,290.87 | $2,290.87 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $457.09 | $457.09 | $457.09 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 56 · Pre-op care only | $302.00 | $302.00 | $302.00 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,162.28 | Facility | None | $426.58 | $602.56 | $3,162.28 |
United Setting Professional Modifier None Typical Low $4,073.80 Median $4,570.88 Typical High $5,888.44 | Professional | None | $4,073.80 | $4,570.88 | $5,888.44 |
Where Michigan sits
The same service costs 3.5 times more in Indiana than in Maryland. 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
$2,089
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.