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 $354.81 Median $1,621.81 Typical High $4,897.79 | Facility | None | $354.81 | $1,621.81 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $1,318.26 Typical High $1,659.59 | Professional | None | $323.59 | $1,318.26 | $1,659.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $645.65 Typical High $831.76 | Professional | 52 · Reduced service | $173.78 | $645.65 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $257.04 Typical High $331.13 | Professional | 53 · Discontinued | $70.79 | $257.04 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $977.24 Typical High $1,258.93 | Professional | 54 · Surgery only | $263.03 | $977.24 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $194.98 Typical High $251.19 | Professional | 55 · Aftercare only | $52.48 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $128.82 Typical High $165.96 | Professional | 56 · Pre-op care only | $35.48 | $128.82 | $165.96 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,951.21 Median $3,388.44 Typical High $4,677.35 | Facility | None | $2,951.21 | $3,388.44 | $4,677.35 |
BCBS Michigan Setting Professional Modifier None Typical Low $58.88 Median $346.74 Typical High $371.54 | Professional | None | $58.88 | $346.74 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $870.96 Typical High $2,344.23 | Professional | None | $263.03 | $870.96 | $2,344.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,513.56 Median $3,890.45 Typical High $4,897.79 | Facility | None | $1,513.56 | $3,890.45 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $354.81 Median $1,659.59 Typical High $1,905.46 | Professional | None | $354.81 | $1,659.59 | $1,905.46 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $512.86 Typical High $851.14 | Professional | 52 · Reduced service | $169.82 | $512.86 | $851.14 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $204.17 Typical High $338.84 | Professional | 53 · Discontinued | $67.61 | $204.17 | $338.84 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $776.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $257.04 | $776.25 | $1,288.25 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $154.88 Typical High $257.04 | Professional | 55 · Aftercare only | $51.29 | $154.88 | $257.04 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $102.33 Typical High $169.82 | Professional | 56 · Pre-op care only | $33.88 | $102.33 | $169.82 |
Priority Health Setting Professional Modifier None Typical Low $263.03 Median $977.24 Typical High $1,995.26 | Professional | None | $263.03 | $977.24 | $1,995.26 |
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 $323.59 Median $1,230.27 Typical High $2,398.83 | Professional | None | $323.59 | $1,230.27 | $2,398.83 |
Where Michigan sits
The same service costs 4.7 times more in Wisconsin 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
$501
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.