How much rates vary
Facilitymedian $3,548 · 10th to 90th $2,089 to $7,762Professionalmedian $339 · 10th to 90th $204 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 $275.42 Median $1,258.93 Typical High $4,897.79 | Facility | None | $275.42 | $1,258.93 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $1,023.29 Typical High $1,288.25 | Professional | None | $251.19 | $1,023.29 | $1,288.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $501.19 Typical High $645.65 | Professional | 52 · Reduced service | $138.04 | $501.19 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $199.53 Typical High $257.04 | Professional | 53 · Discontinued | $54.95 | $199.53 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $741.31 Typical High $954.99 | Professional | 54 · Surgery only | $208.93 | $741.31 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $147.91 Typical High $194.98 | Professional | 55 · Aftercare only | $41.69 | $147.91 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $100.00 Typical High $128.82 | Professional | 56 · Pre-op care only | $27.54 | $100.00 | $128.82 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $7,762.47 | Facility | None | $2,238.72 | $3,548.13 | $7,762.47 |
BCBS Michigan Setting Professional Modifier None Typical Low $54.95 Median $275.42 Typical High $295.12 | Professional | None | $54.95 | $275.42 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $676.08 Typical High $1,819.70 | Professional | None | $204.17 | $676.08 | $1,819.70 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,230.27 Median $3,311.31 Typical High $4,897.79 | Facility | None | $1,230.27 | $3,311.31 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $275.42 Median $1,258.93 Typical High $1,513.56 | Professional | None | $275.42 | $1,258.93 | $1,513.56 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $398.11 Typical High $660.69 | Professional | 52 · Reduced service | $131.83 | $398.11 | $660.69 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $158.49 Typical High $263.03 | Professional | 53 · Discontinued | $52.48 | $158.49 | $263.03 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $588.84 Typical High $977.24 | Professional | 54 · Surgery only | $199.53 | $588.84 | $977.24 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $117.49 Typical High $194.98 | Professional | 55 · Aftercare only | $39.81 | $117.49 | $194.98 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $79.43 Typical High $131.83 | Professional | 56 · Pre-op care only | $26.30 | $79.43 | $131.83 |
Priority Health Setting Professional Modifier None Typical Low $204.17 Median $758.58 Typical High $1,584.89 | Professional | None | $204.17 | $758.58 | $1,584.89 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $6,456.54 Typical High $8,912.51 | Facility | None | $3,235.94 | $6,456.54 | $8,912.51 |
United Setting Professional Modifier None Typical Low $251.19 Median $954.99 Typical High $1,905.46 | Professional | None | $251.19 | $954.99 | $1,905.46 |
Where Michigan sits
The same service costs 5.9 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
$380
WI $1,622MD $275
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.