How much rates vary
Facilitymedian $339 · 10th to 90th $155 to $1,023Professionalmedian $186 · 10th to 90th $117 to $282
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 $154.88 Median $257.04 Typical High $4,897.79 | Facility | None | $154.88 | $257.04 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $194.98 Typical High $263.03 | Professional | None | $154.88 | $194.98 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $95.50 Typical High $128.82 | Professional | 52 · Reduced service | $77.62 | $95.50 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.02 Typical High $51.29 | Professional | 53 · Discontinued | $30.90 | $38.02 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $144.54 Typical High $190.55 | Professional | 54 · Surgery only | $117.49 | $144.54 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $28.84 Typical High $38.02 | Professional | 55 · Aftercare only | $23.44 | $28.84 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $19.05 Typical High $25.70 | Professional | 56 · Pre-op care only | $15.49 | $19.05 | $25.70 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $316.23 Median $398.11 Typical High $977.24 | Facility | None | $316.23 | $398.11 | $977.24 |
BCBS Michigan Setting Professional Modifier None Typical Low $32.36 Median $151.36 Typical High $162.18 | Professional | None | $32.36 | $151.36 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $295.12 | Professional | None | $117.49 | $181.97 | $295.12 |
Health Alliance Plan Setting Facility Modifier None Typical Low $169.82 Median $371.54 Typical High $933.25 | Facility | None | $169.82 | $371.54 | $933.25 |
Health Alliance Plan Setting Professional Modifier None Typical Low $151.36 Median $251.19 Typical High $309.03 | Professional | None | $151.36 | $251.19 | $309.03 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $79.43 Typical High $128.82 | Professional | 52 · Reduced service | $75.86 | $79.43 | $128.82 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $31.62 Typical High $51.29 | Professional | 53 · Discontinued | $30.20 | $31.62 | $51.29 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $117.49 Typical High $194.98 | Professional | 54 · Surgery only | $114.82 | $117.49 | $194.98 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $23.44 Typical High $38.90 | Professional | 55 · Aftercare only | $22.91 | $23.44 | $38.90 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.85 Typical High $25.70 | Professional | 56 · Pre-op care only | $15.14 | $15.85 | $25.70 |
Priority Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Priority Health Setting Professional Modifier None Typical Low $109.65 Median $162.18 Typical High $281.84 | Professional | None | $109.65 | $162.18 | $281.84 |
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 $147.91 Median $208.93 Typical High $275.42 | Professional | None | $147.91 | $208.93 | $275.42 |
Where Michigan sits
The same service costs 3.0 times more in Wisconsin than in Maryland. 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· 33rd of 51
$214
WI $537MD $182
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.