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 $213.80 Median $2,041.74 Typical High $4,897.79 | Facility | None | $213.80 | $2,041.74 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $218.78 Typical High $218.78 | Professional | None | $213.80 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $107.15 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $165.96 Typical High $165.96 | Professional | 54 · Surgery only | $162.18 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $32.36 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $21.38 | $21.88 | $21.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $691.83 Median $776.25 Typical High $1,995.26 | Facility | None | $691.83 | $776.25 | $1,995.26 |
BCBS Michigan Setting Professional Modifier None Typical Low $15.14 Median $75.86 Typical High $75.86 | Professional | None | $15.14 | $75.86 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $309.03 Typical High $478.63 | Professional | None | $141.25 | $309.03 | $478.63 |
Health Alliance Plan Setting Facility Modifier None Typical Low $218.78 Median $2,041.74 Typical High $4,897.79 | Facility | None | $218.78 | $2,041.74 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $109.65 | $109.65 | $109.65 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $43.65 | $43.65 | $43.65 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 54 · Surgery only | $162.18 | $162.18 | $162.18 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $32.36 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $21.88 |
Priority Health Setting Professional Modifier None Typical Low $134.90 Median $263.03 Typical High $478.63 | Professional | None | $134.90 | $263.03 | $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 $218.78 Median $331.13 Typical High $426.58 | Professional | None | $218.78 | $331.13 | $426.58 |
Where Michigan sits
The same service costs 7.2 times more in Oklahoma than in 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· 44th of 51
$219
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.