How much rates vary
Facilitymedian $4,467 · 10th to 90th $372 to $6,761Professionalmedian $316 · 10th to 90th $263 to $427
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 $269.15 Median $398.11 Typical High $4,897.79 | Facility | None | $269.15 | $398.11 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $288.40 Typical High $426.58 | Professional | None | $269.15 | $288.40 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $144.54 Typical High $199.53 | Professional | 52 · Reduced service | $134.90 | $144.54 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $58.88 Typical High $81.28 | Professional | 53 · Discontinued | $53.70 | $58.88 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $218.78 Typical High $302.00 | Professional | 54 · Surgery only | $204.17 | $218.78 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $43.65 Typical High $60.26 | Professional | 55 · Aftercare only | $40.74 | $43.65 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $28.84 Typical High $40.74 | Professional | 56 · Pre-op care only | $26.92 | $28.84 | $40.74 |
BCBS Michigan Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $7,762.47 | Facility | None | $4,466.84 | $4,466.84 | $7,762.47 |
BCBS Michigan Setting Professional Modifier None Typical Low $64.57 Median $302.00 Typical High $302.00 | Professional | None | $64.57 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $380.19 | Professional | None | $181.97 | $257.04 | $380.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $275.42 Median $416.87 Typical High $4,073.80 | Facility | None | $275.42 | $416.87 | $4,073.80 |
Health Alliance Plan Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $426.58 | Professional | None | $263.03 | $363.08 | $426.58 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $141.25 Typical High $199.53 | Professional | 52 · Reduced service | $131.83 | $141.25 | $199.53 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $57.54 Typical High $81.28 | Professional | 53 · Discontinued | $53.70 | $57.54 | $81.28 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $213.80 Typical High $302.00 | Professional | 54 · Surgery only | $199.53 | $213.80 | $302.00 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $42.66 Typical High $60.26 | Professional | 55 · Aftercare only | $39.81 | $42.66 | $60.26 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $28.84 Typical High $39.81 | Professional | 56 · Pre-op care only | $26.30 | $28.84 | $39.81 |
Priority Health Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $380.19 | Professional | None | $181.97 | $257.04 | $380.19 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,311.31 | Facility | None | $426.58 | $602.56 | $3,311.31 |
United Setting Professional Modifier None Typical Low $251.19 Median $338.84 Typical High $426.58 | Professional | None | $251.19 | $338.84 | $426.58 |
Where Michigan sits
The same service costs 6.1 times more in Michigan than in Montana. 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.
Physician feeFacility fee
MI $4,783MT $790
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.