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 $169.82 Median $707.95 Typical High $4,897.79 | Facility | None | $169.82 | $707.95 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $537.03 Typical High $724.44 | Professional | None | $169.82 | $537.03 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $245.47 Typical High $363.08 | Professional | 52 · Reduced service | $85.11 | $245.47 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $100.00 Typical High $147.91 | Professional | 53 · Discontinued | $33.88 | $100.00 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $371.54 Typical High $549.54 | Professional | 54 · Surgery only | $125.89 | $371.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $74.13 Typical High $109.65 | Professional | 55 · Aftercare only | $25.12 | $74.13 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $50.12 Typical High $72.44 | Professional | 56 · Pre-op care only | $16.98 | $50.12 | $72.44 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,344.23 Median $2,754.23 Typical High $3,715.35 | Facility | None | $2,344.23 | $2,754.23 | $3,715.35 |
BCBS Michigan Setting Professional Modifier None Typical Low $97.72 Median $158.49 Typical High $177.83 | Professional | None | $97.72 | $158.49 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $407.38 Typical High $1,000.00 | Professional | None | $125.89 | $407.38 | $1,000.00 |
Health Alliance Plan Setting Facility Modifier None Typical Low $562.34 Median $1,548.82 Typical High $4,897.79 | Facility | None | $562.34 | $1,548.82 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $169.82 Median $616.60 Typical High $741.31 | Professional | None | $169.82 | $616.60 | $741.31 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $190.55 Typical High $371.54 | Professional | 52 · Reduced service | $81.28 | $190.55 | $371.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $75.86 Typical High $147.91 | Professional | 53 · Discontinued | $32.36 | $75.86 | $147.91 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $281.84 Typical High $562.34 | Professional | 54 · Surgery only | $123.03 | $281.84 | $562.34 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $56.23 Typical High $112.20 | Professional | 55 · Aftercare only | $24.55 | $56.23 | $112.20 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $38.02 Typical High $74.13 | Professional | 56 · Pre-op care only | $16.22 | $38.02 | $74.13 |
Priority Health Setting Professional Modifier None Typical Low $128.82 Median $436.52 Typical High $831.76 | Professional | None | $128.82 | $436.52 | $831.76 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,288.25 Typical High $2,089.30 | Facility | None | $302.00 | $1,288.25 | $2,089.30 |
United Setting Professional Modifier None Typical Low $154.88 Median $407.38 Typical High $831.76 | Professional | None | $154.88 | $407.38 | $831.76 |
Where Michigan sits
The same service costs 4.0 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· 49th of 51
$224
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.