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 $147.91 Median $2,884.03 Typical High $4,897.79 | Facility | None | $147.91 | $2,884.03 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $151.36 Typical High $151.36 | Professional | None | $147.91 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $74.13 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $29.51 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $114.82 Typical High $114.82 | Professional | 54 · Surgery only | $112.20 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $22.39 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $15.14 Typical High $15.14 | Professional | 56 · Pre-op care only | $14.79 | $15.14 | $15.14 |
BCBS Michigan Setting Facility Modifier None Typical Low $831.76 Median $1,071.52 Typical High $2,630.27 | Facility | None | $831.76 | $1,071.52 | $2,630.27 |
BCBS Michigan Setting Professional Modifier None Typical Low $22.91 Median $85.11 Typical High $134.90 | Professional | None | $22.91 | $85.11 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $223.87 | Professional | None | $85.11 | $120.23 | $223.87 |
Health Alliance Plan Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $4,897.79 | Facility | None | $263.03 | $660.69 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $147.91 | Professional | None | $104.71 | $138.04 | $147.91 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $69.18 | $72.44 | $72.44 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.18 | $28.84 | $28.84 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $109.65 Typical High $109.65 | Professional | 54 · Surgery only | $104.71 | $109.65 | $109.65 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $20.89 | $21.88 | $21.88 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $14.45 Typical High $14.45 | Professional | 56 · Pre-op care only | $13.80 | $14.45 | $14.45 |
Priority Health Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $190.55 | Professional | None | $81.28 | $114.82 | $190.55 |
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 $120.23 Median $144.54 Typical High $154.88 | Professional | None | $120.23 | $144.54 | $154.88 |
Where Michigan sits
The same service costs 4.8 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· 26th of 51
$135
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.