How much rates vary
Facilitymedian $166 · 10th to 90th $126 to $692Professionalmedian $234 · 10th to 90th $132 to $347
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 $158.49 Median $346.74 Typical High $4,897.79 | Facility | None | $158.49 | $346.74 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $234.42 Typical High $338.84 | Professional | None | $158.49 | $234.42 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $125.89 Typical High $169.82 | Professional | 52 · Reduced service | $77.62 | $125.89 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $50.12 Typical High $67.61 | Professional | 53 · Discontinued | $31.62 | $50.12 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $190.55 Typical High $251.19 | Professional | 54 · Surgery only | $117.49 | $190.55 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $38.02 Typical High $51.29 | Professional | 55 · Aftercare only | $23.44 | $38.02 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $25.12 Typical High $33.88 | Professional | 56 · Pre-op care only | $15.85 | $25.12 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $177.83 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $109.65 | $177.83 | $234.42 |
BCBS Michigan Setting Facility Modifier None Typical Low $128.82 Median $131.83 Typical High $229.09 | Facility | None | $128.82 | $131.83 | $229.09 |
BCBS Michigan Setting Professional Modifier None Typical Low $107.15 Median $169.82 Typical High $257.04 | Professional | None | $107.15 | $169.82 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $186.21 Typical High $398.11 | Professional | None | $117.49 | $186.21 | $398.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $177.83 Median $575.44 Typical High $4,897.79 | Facility | None | $177.83 | $575.44 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $158.49 Median $295.12 Typical High $354.81 | Professional | None | $158.49 | $295.12 | $354.81 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $87.10 Typical High $173.78 | Professional | 52 · Reduced service | $77.62 | $87.10 | $173.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $34.67 Typical High $69.18 | Professional | 53 · Discontinued | $30.90 | $34.67 | $69.18 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $128.82 Typical High $257.04 | Professional | 54 · Surgery only | $114.82 | $128.82 | $257.04 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $25.70 Typical High $52.48 | Professional | 55 · Aftercare only | $22.91 | $25.70 | $52.48 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $17.38 Typical High $34.67 | Professional | 56 · Pre-op care only | $15.49 | $17.38 | $34.67 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $120.23 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $107.15 | $120.23 | $239.88 |
Priority Health Setting Professional Modifier None Typical Low $112.20 Median $181.97 Typical High $363.08 | Professional | None | $112.20 | $181.97 | $363.08 |
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 $131.83 Median $223.87 Typical High $323.59 | Professional | None | $131.83 | $223.87 | $323.59 |
Where Michigan sits
The same service costs 3.6 times more in Wisconsin than in Kentucky. 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· 29th of 51
$229
WI $490KY $135
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.