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 $478.63 Median $2,570.40 Typical High $4,897.79 | Facility | None | $478.63 | $2,570.40 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $2,089.30 Typical High $2,570.40 | Professional | None | $478.63 | $2,089.30 | $2,570.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $1,000.00 Typical High $1,288.25 | Professional | 52 · Reduced service | $239.88 | $1,000.00 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $407.38 Typical High $524.81 | Professional | 53 · Discontinued | $97.72 | $407.38 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $1,513.56 Typical High $1,949.84 | Professional | 54 · Surgery only | $363.08 | $1,513.56 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $302.00 Typical High $389.05 | Professional | 55 · Aftercare only | $72.44 | $302.00 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $199.53 Typical High $257.04 | Professional | 56 · Pre-op care only | $47.86 | $199.53 | $257.04 |
Ambetter Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,630.78 Median $4,265.80 Typical High $5,888.44 | Facility | None | $3,630.78 | $4,265.80 | $5,888.44 |
BCBS Michigan Setting Professional Modifier None Typical Low $79.43 Median $467.74 Typical High $501.19 | Professional | None | $79.43 | $467.74 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $1,071.52 Typical High $3,801.89 | Professional | None | $371.54 | $1,071.52 | $3,801.89 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,344.23 Median $4,897.79 Typical High $6,456.54 | Facility | None | $2,344.23 | $4,897.79 | $6,456.54 |
Health Alliance Plan Setting Professional Modifier None Typical Low $478.63 Median $2,511.89 Typical High $2,951.21 | Professional | None | $478.63 | $2,511.89 | $2,951.21 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $831.76 Typical High $1,318.26 | Professional | 52 · Reduced service | $234.42 | $831.76 | $1,318.26 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $331.13 Typical High $537.03 | Professional | 53 · Discontinued | $93.33 | $331.13 | $537.03 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $1,230.27 Typical High $1,995.26 | Professional | 54 · Surgery only | $346.74 | $1,230.27 | $1,995.26 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $245.47 Typical High $398.11 | Professional | 55 · Aftercare only | $69.18 | $245.47 | $398.11 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $165.96 Typical High $263.03 | Professional | 56 · Pre-op care only | $46.77 | $165.96 | $263.03 |
Priority Health Setting Professional Modifier None Typical Low $363.08 Median $1,380.38 Typical High $3,090.30 | Professional | None | $363.08 | $1,380.38 | $3,090.30 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $9,549.93 Typical High $12,882.50 | Facility | None | $5,754.40 | $9,549.93 | $12,882.50 |
United Setting Professional Modifier None Typical Low $446.68 Median $1,949.84 Typical High $3,630.78 | Professional | None | $446.68 | $1,949.84 | $3,630.78 |
Where Michigan sits
The same service costs 6.9 times more in Wisconsin than in Hawaii. 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· 48th of 51
$631
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.