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 $131.83 Median $2,041.74 Typical High $4,897.79 | Facility | None | $131.83 | $2,041.74 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $134.90 Typical High $134.90 | Professional | None | $131.83 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $66.07 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.30 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 54 · Surgery only | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $20.42 Typical High $20.42 | Professional | 55 · Aftercare only | $19.95 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.49 Typical High $13.49 | Professional | 56 · Pre-op care only | $13.18 | $13.49 | $13.49 |
BCBS Michigan Setting Facility Modifier None Typical Low $27.54 Median $63.10 Typical High $125.89 | Facility | None | $27.54 | $63.10 | $125.89 |
BCBS Michigan Setting Professional Modifier None Typical Low $24.55 Median $120.23 Typical High $125.89 | Professional | None | $24.55 | $120.23 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $125.89 Typical High $204.17 | Professional | None | $77.62 | $125.89 | $204.17 |
Health Alliance Plan Setting Facility Modifier None Typical Low $134.90 Median $316.23 Typical High $4,897.79 | Facility | None | $134.90 | $316.23 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $144.54 | Professional | None | $109.65 | $134.90 | $144.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $64.57 | $66.07 | $66.07 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $25.70 | $26.92 | $26.92 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $100.00 Typical High $100.00 | Professional | 54 · Surgery only | $97.72 | $100.00 | $100.00 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $19.50 | $19.95 | $19.95 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $13.49 Typical High $13.49 | Professional | 56 · Pre-op care only | $12.88 | $13.49 | $13.49 |
Priority Health Setting Professional Modifier None Typical Low $70.79 Median $120.23 Typical High $199.53 | Professional | None | $70.79 | $120.23 | $199.53 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,230.27 | Facility | None | $91.20 | $177.83 | $1,230.27 |
United Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $186.21 | Professional | None | $117.49 | $158.49 | $186.21 |
Where Michigan sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 30th of 51
$126
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.