How much rates vary
Facilitymedian $166 · 10th to 90th $126 to $661Professionalmedian $200 · 10th to 90th $115 to $240
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 $141.25 Median $245.47 Typical High $4,897.79 | Facility | None | $141.25 | $245.47 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $239.88 | Professional | None | $128.82 | $173.78 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $87.10 Typical High $120.23 | Professional | 52 · Reduced service | $70.79 | $87.10 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $35.48 Typical High $47.86 | Professional | 53 · Discontinued | $28.18 | $35.48 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $131.83 Typical High $177.83 | Professional | 54 · Surgery only | $104.71 | $131.83 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $26.30 Typical High $35.48 | Professional | 55 · Aftercare only | $21.38 | $26.30 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $17.78 Typical High $23.99 | Professional | 56 · Pre-op care only | $14.13 | $17.78 | $23.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $123.03 Typical High $165.96 | Professional | 78 · Unplanned return to OR | $97.72 | $123.03 | $165.96 |
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 $93.33 Median $234.42 Typical High $234.42 | Professional | None | $93.33 | $234.42 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $165.96 Typical High $281.84 | Professional | None | $109.65 | $165.96 | $281.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $177.83 Median $446.68 Typical High $4,897.79 | Facility | None | $177.83 | $446.68 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $245.47 | Professional | None | $138.04 | $208.93 | $245.47 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $72.44 Typical High $120.23 | Professional | 52 · Reduced service | $69.18 | $72.44 | $120.23 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $47.86 | Professional | 53 · Discontinued | $27.54 | $28.84 | $47.86 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $109.65 Typical High $181.97 | Professional | 54 · Surgery only | $104.71 | $109.65 | $181.97 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $21.88 Typical High $36.31 | Professional | 55 · Aftercare only | $20.89 | $21.88 | $36.31 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $14.45 Typical High $23.99 | Professional | 56 · Pre-op care only | $13.80 | $14.45 | $23.99 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $102.33 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $97.72 | $102.33 | $169.82 |
Priority Health Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $251.19 | Professional | None | $102.33 | $144.54 | $251.19 |
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 $114.82 Median $177.83 Typical High $239.88 | Professional | None | $114.82 | $177.83 | $239.88 |
Where Michigan sits
The same service costs 4.5 times more in Alaska 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· 28th of 51
$195
AK $457KY $102
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.