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 $1,698.24 Median $1,778.28 Typical High $2,187.76 | Facility | None | $1,698.24 | $1,778.28 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,778.28 Typical High $2,137.96 | Professional | None | $1,698.24 | $1,778.28 | $2,137.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $870.96 Typical High $1,071.52 | Professional | 52 · Reduced service | $851.14 | $870.96 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $354.81 Typical High $426.58 | Professional | 53 · Discontinued | $338.84 | $354.81 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $263.03 Typical High $323.59 | Professional | 55 · Aftercare only | $257.04 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $177.83 Typical High $213.80 | Professional | 56 · Pre-op care only | $169.82 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,230.27 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,230.27 | $1,513.56 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
BCBS Michigan Setting Professional Modifier None Typical Low $338.84 Median $1,698.24 Typical High $1,778.28 | Professional | None | $338.84 | $1,698.24 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,862.09 Typical High $3,090.30 | Professional | None | $1,096.48 | $1,862.09 | $3,090.30 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,258.93 Median $1,778.28 Typical High $5,495.41 | Facility | None | $1,258.93 | $1,778.28 | $5,495.41 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,778.28 Median $2,187.76 Typical High $2,570.40 | Professional | None | $1,778.28 | $2,187.76 | $2,570.40 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $870.96 Typical High $1,096.48 | Professional | 52 · Reduced service | $851.14 | $870.96 | $1,096.48 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $354.81 Typical High $436.52 | Professional | 53 · Discontinued | $338.84 | $354.81 | $436.52 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $263.03 Typical High $331.13 | Professional | 55 · Aftercare only | $257.04 | $263.03 | $331.13 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $177.83 Typical High $218.78 | Professional | 56 · Pre-op care only | $169.82 | $177.83 | $218.78 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,230.27 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,230.27 | $1,513.56 |
Priority Health Setting Professional Modifier None Typical Low $977.24 Median $1,737.80 Typical High $2,511.89 | Professional | None | $977.24 | $1,737.80 | $2,511.89 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,238.72 Typical High $7,762.47 | Facility | None | $851.14 | $2,238.72 | $7,762.47 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $2,398.83 | Professional | None | $1,621.81 | $1,995.26 | $2,398.83 |
Where Michigan sits
The same service costs 5.1 times more in Alaska than in Texas. 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· 31st of 51
$1,905
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.