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 $66.07 Median $117.49 Typical High $4,897.79 | Facility | None | $66.07 | $117.49 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $123.03 | Professional | None | $66.07 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $42.66 Typical High $58.88 | Professional | 52 · Reduced service | $33.11 | $42.66 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $17.38 Typical High $23.44 | Professional | 53 · Discontinued | $13.18 | $17.38 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $64.57 Typical High $89.13 | Professional | 54 · Surgery only | $50.12 | $64.57 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $12.88 Typical High $17.78 | Professional | 55 · Aftercare only | $10.00 | $12.88 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $8.51 Typical High $11.75 | Professional | 56 · Pre-op care only | $6.61 | $8.51 | $11.75 |
BCBS Michigan Setting Facility Modifier None Typical Low $426.58 Median $436.52 Typical High $741.31 | Facility | None | $426.58 | $436.52 | $741.31 |
BCBS Michigan Setting Professional Modifier None Typical Low $8.91 Median $56.23 Typical High $123.03 | Professional | None | $8.91 | $56.23 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $102.33 Typical High $190.55 | Professional | None | $57.54 | $102.33 | $190.55 |
Health Alliance Plan Setting Facility Modifier None Typical Low $83.18 Median $147.91 Typical High $2,041.74 | Facility | None | $83.18 | $147.91 | $2,041.74 |
Health Alliance Plan Setting Professional Modifier None Typical Low $64.57 Median $117.49 Typical High $190.55 | Professional | None | $64.57 | $117.49 | $190.55 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $38.02 Typical High $58.88 | Professional | 52 · Reduced service | $32.36 | $38.02 | $58.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.14 Typical High $23.44 | Professional | 53 · Discontinued | $12.88 | $15.14 | $23.44 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $56.23 Typical High $89.13 | Professional | 54 · Surgery only | $48.98 | $56.23 | $89.13 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $11.48 Typical High $17.78 | Professional | 55 · Aftercare only | $9.77 | $11.48 | $17.78 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $7.59 Typical High $11.75 | Professional | 56 · Pre-op care only | $6.46 | $7.59 | $11.75 |
Priority Health Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $158.49 | Professional | None | $58.88 | $77.62 | $158.49 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,202.26 | Facility | None | $91.20 | $177.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $181.97 | Professional | None | $72.44 | $114.82 | $181.97 |
Where Michigan sits
The same service costs 2.8 times more in Alaska than in Pennsylvania. 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· 25th of 51
$115
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.