How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,202 to $13,490Professionalmedian $437 · 10th to 90th $229 to $1,549
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 $295.12 Median $1,318.26 Typical High $4,897.79 | Facility | None | $295.12 | $1,318.26 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $1,071.52 Typical High $1,412.54 | Professional | None | $223.87 | $1,071.52 | $1,412.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $512.86 Typical High $676.08 | Professional | 52 · Reduced service | $147.91 | $512.86 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $208.93 Typical High $269.15 | Professional | 53 · Discontinued | $58.88 | $208.93 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $776.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $218.78 | $776.25 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $154.88 Typical High $204.17 | Professional | 55 · Aftercare only | $43.65 | $154.88 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $102.33 Typical High $134.90 | Professional | 56 · Pre-op care only | $29.51 | $102.33 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
BCBS Michigan Setting Facility Modifier None Typical Low $5,370.32 Median $7,244.36 Typical High $16,218.10 | Facility | None | $5,370.32 | $7,244.36 | $16,218.10 |
BCBS Michigan Setting Professional Modifier None Typical Low $48.98 Median $416.87 Typical High $436.52 | Professional | None | $48.98 | $416.87 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $660.69 Typical High $1,905.46 | Professional | None | $218.78 | $660.69 | $1,905.46 |
Health Alliance Plan Setting Facility Modifier None Typical Low $380.19 Median $3,019.95 Typical High $4,897.79 | Facility | None | $380.19 | $3,019.95 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $263.03 Median $1,230.27 Typical High $1,548.82 | Professional | None | $263.03 | $1,230.27 | $1,548.82 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $407.38 Typical High $676.08 | Professional | 52 · Reduced service | $141.25 | $407.38 | $676.08 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $162.18 Typical High $275.42 | Professional | 53 · Discontinued | $56.23 | $162.18 | $275.42 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $616.60 Typical High $1,023.29 | Professional | 54 · Surgery only | $208.93 | $616.60 | $1,023.29 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $123.03 Typical High $204.17 | Professional | 55 · Aftercare only | $41.69 | $123.03 | $204.17 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $81.28 Typical High $138.04 | Professional | 56 · Pre-op care only | $28.18 | $81.28 | $138.04 |
Priority Health Setting Professional Modifier None Typical Low $218.78 Median $707.95 Typical High $1,621.81 | Professional | None | $218.78 | $707.95 | $1,621.81 |
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 $263.03 Median $794.33 Typical High $1,737.80 | Professional | None | $263.03 | $794.33 | $1,737.80 |
Where Michigan sits
The same service costs 4.1 times more in Washington than in Nebraska. 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
$437
WA $1,549NE $380
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.