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 $1,737.80 Typical High $4,897.79 | Facility | None | $131.83 | $1,737.80 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $1,348.96 Typical High $1,778.28 | Professional | None | $131.83 | $1,348.96 | $1,778.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $676.08 Typical High $870.96 | Professional | 52 · Reduced service | $66.07 | $676.08 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $269.15 Typical High $354.81 | Professional | 53 · Discontinued | $26.30 | $269.15 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $1,000.00 Typical High $1,318.26 | Professional | 54 · Surgery only | $97.72 | $1,000.00 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $204.17 Typical High $263.03 | Professional | 55 · Aftercare only | $19.50 | $204.17 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $134.90 Typical High $177.83 | Professional | 56 · Pre-op care only | $13.18 | $134.90 | $177.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $4,265.80 Median $4,365.16 Typical High $7,413.10 | Facility | None | $4,265.80 | $4,365.16 | $7,413.10 |
BCBS Michigan Setting Professional Modifier None Typical Low $20.42 Median $114.82 Typical High $120.23 | Professional | None | $20.42 | $114.82 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $194.98 Typical High $2,511.89 | Professional | None | $109.65 | $194.98 | $2,511.89 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,445.44 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,445.44 | $2,884.03 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $131.83 Median $1,548.82 Typical High $1,905.46 | Professional | None | $131.83 | $1,548.82 | $1,905.46 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $66.07 Typical High $891.25 | Professional | 52 · Reduced service | $63.10 | $66.07 | $891.25 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.92 Typical High $354.81 | Professional | 53 · Discontinued | $25.12 | $26.92 | $354.81 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $100.00 Typical High $1,318.26 | Professional | 54 · Surgery only | $95.50 | $100.00 | $1,318.26 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.95 Typical High $263.03 | Professional | 55 · Aftercare only | $19.05 | $19.95 | $263.03 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $134.90 Typical High $177.83 | Professional | 56 · Pre-op care only | $12.59 | $134.90 | $177.83 |
Priority Health Setting Professional Modifier None Typical Low $102.33 Median $181.97 Typical High $2,290.87 | Professional | None | $102.33 | $181.97 | $2,290.87 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,238.72 Typical High $7,762.47 | Facility | None | $851.14 | $2,238.72 | $7,762.47 |
United Setting Professional Modifier None Typical Low $123.03 Median $912.01 Typical High $2,187.76 | Professional | None | $123.03 | $912.01 | $2,187.76 |
Where Michigan sits
The same service costs 19.1 times more in Alaska 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· 37th of 51
$1,380
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.