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 $467.74 Median $2,398.83 Typical High $4,897.79 | Facility | None | $467.74 | $2,398.83 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $1,621.81 Typical High $2,454.71 | Professional | None | $302.00 | $1,621.81 | $2,454.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $812.83 Typical High $1,230.27 | Professional | 52 · Reduced service | $234.42 | $812.83 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $323.59 Typical High $489.78 | Professional | 53 · Discontinued | $93.33 | $323.59 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $1,202.26 Typical High $1,819.70 | Professional | 54 · Surgery only | $354.81 | $1,202.26 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $239.88 Typical High $371.54 | Professional | 55 · Aftercare only | $70.79 | $239.88 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $162.18 Typical High $245.47 | Professional | 56 · Pre-op care only | $46.77 | $162.18 | $245.47 |
BCBS Michigan Setting Facility Modifier None Typical Low $8,912.51 Median $12,302.69 Typical High $27,542.29 | Facility | None | $8,912.51 | $12,302.69 | $27,542.29 |
BCBS Michigan Setting Professional Modifier None Typical Low $107.15 Median $467.74 Typical High $691.83 | Professional | None | $107.15 | $467.74 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $1,071.52 Typical High $3,311.31 | Professional | None | $323.59 | $1,071.52 | $3,311.31 |
Health Alliance Plan Setting Facility Modifier None Typical Low $630.96 Median $4,897.79 Typical High $6,165.95 | Facility | None | $630.96 | $4,897.79 | $6,165.95 |
Health Alliance Plan Setting Professional Modifier None Typical Low $436.52 Median $2,290.87 Typical High $2,818.38 | Professional | None | $436.52 | $2,290.87 | $2,818.38 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $691.83 Typical High $1,174.90 | Professional | 52 · Reduced service | $218.78 | $691.83 | $1,174.90 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $275.42 Typical High $467.74 | Professional | 53 · Discontinued | $87.10 | $275.42 | $467.74 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $1,023.29 Typical High $1,778.28 | Professional | 54 · Surgery only | $331.13 | $1,023.29 | $1,778.28 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $204.17 Typical High $354.81 | Professional | 55 · Aftercare only | $66.07 | $204.17 | $354.81 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $138.04 Typical High $234.42 | Professional | 56 · Pre-op care only | $43.65 | $138.04 | $234.42 |
Priority Health Setting Professional Modifier None Typical Low $323.59 Median $1,071.52 Typical High $2,691.53 | Professional | None | $323.59 | $1,071.52 | $2,691.53 |
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 $416.87 Median $1,412.54 Typical High $3,090.30 | Professional | None | $416.87 | $1,412.54 | $3,090.30 |
Where Michigan sits
The same service costs 5.5 times more in Washington 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· 47th of 51
$692
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.