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 $87.10 Median $269.15 Typical High $4,897.79 | Facility | None | $87.10 | $269.15 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $199.53 Typical High $269.15 | Professional | None | $87.10 | $199.53 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $97.72 Typical High $134.90 | Professional | 52 · Reduced service | $43.65 | $97.72 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $25.12 Typical High $53.70 | Professional | 53 · Discontinued | $17.38 | $25.12 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $147.91 Typical High $204.17 | Professional | 54 · Surgery only | $66.07 | $147.91 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $18.62 Typical High $40.74 | Professional | 55 · Aftercare only | $13.18 | $18.62 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $12.59 Typical High $26.92 | Professional | 56 · Pre-op care only | $8.71 | $12.59 | $26.92 |
BCBS Michigan Setting Facility Modifier None Typical Low $912.01 Median $1,047.13 Typical High $2,630.27 | Facility | None | $912.01 | $1,047.13 | $2,630.27 |
BCBS Michigan Setting Professional Modifier None Typical Low $16.60 Median $75.86 Typical High $83.18 | Professional | None | $16.60 | $75.86 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $181.97 Typical High $478.63 | Professional | None | $83.18 | $181.97 | $478.63 |
Health Alliance Plan Setting Facility Modifier None Typical Low $275.42 Median $812.83 Typical High $4,897.79 | Facility | None | $275.42 | $812.83 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $85.11 Median $275.42 Typical High $371.54 | Professional | None | $85.11 | $275.42 | $371.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $56.23 Typical High $134.90 | Professional | 52 · Reduced service | $42.66 | $56.23 | $134.90 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $22.39 Typical High $54.95 | Professional | 53 · Discontinued | $16.98 | $22.39 | $54.95 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $83.18 Typical High $204.17 | Professional | 54 · Surgery only | $64.57 | $83.18 | $204.17 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $16.98 Typical High $40.74 | Professional | 55 · Aftercare only | $12.88 | $16.98 | $40.74 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $11.22 Typical High $27.54 | Professional | 56 · Pre-op care only | $8.51 | $11.22 | $27.54 |
Priority Health Setting Professional Modifier None Typical Low $77.62 Median $173.78 Typical High $478.63 | Professional | None | $77.62 | $173.78 | $478.63 |
United Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $1,258.93 | Facility | None | $89.13 | $177.83 | $1,258.93 |
United Setting Professional Modifier None Typical Low $97.72 Median $251.19 Typical High $371.54 | Professional | None | $97.72 | $251.19 | $371.54 |
Where Michigan sits
The same service costs 4.5 times more in Oklahoma than in Nebraska. 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· 14th of 51
$269
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.