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 $117.49 Median $251.19 Typical High $4,897.79 | Facility | None | $117.49 | $251.19 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $199.53 Typical High $251.19 | Professional | None | $117.49 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $100.00 Typical High $125.89 | Professional | 52 · Reduced service | $57.54 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $39.81 Typical High $50.12 | Professional | 53 · Discontinued | $23.44 | $39.81 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $151.36 Typical High $190.55 | Professional | 54 · Surgery only | $87.10 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $30.20 Typical High $38.02 | Professional | 55 · Aftercare only | $17.38 | $30.20 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $19.95 Typical High $25.12 | Professional | 56 · Pre-op care only | $11.75 | $19.95 | $25.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $1,202.26 | Facility | None | $691.83 | $691.83 | $1,202.26 |
BCBS Michigan Setting Professional Modifier None Typical Low $75.86 Median $123.03 Typical High $181.97 | Professional | None | $75.86 | $123.03 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $158.49 Typical High $346.74 | Professional | None | $91.20 | $158.49 | $346.74 |
Health Alliance Plan Setting Facility Modifier None Typical Low $257.04 Median $676.08 Typical High $4,897.79 | Facility | None | $257.04 | $676.08 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $117.49 Median $269.15 Typical High $363.08 | Professional | None | $117.49 | $269.15 | $363.08 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $58.88 Typical High $128.82 | Professional | 52 · Reduced service | $56.23 | $58.88 | $128.82 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.44 Typical High $51.29 | Professional | 53 · Discontinued | $22.39 | $23.44 | $51.29 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $89.13 Typical High $190.55 | Professional | 54 · Surgery only | $85.11 | $89.13 | $190.55 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $17.78 Typical High $38.02 | Professional | 55 · Aftercare only | $16.98 | $17.78 | $38.02 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.75 Typical High $25.70 | Professional | 56 · Pre-op care only | $11.22 | $11.75 | $25.70 |
Priority Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Priority Health Setting Professional Modifier None Typical Low $61.66 Median $158.49 Typical High $346.74 | Professional | None | $61.66 | $158.49 | $346.74 |
United Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $3,235.94 | Facility | None | $288.40 | $426.58 | $3,235.94 |
United Setting Professional Modifier None Typical Low $134.90 Median $223.87 Typical High $416.87 | Professional | None | $134.90 | $223.87 | $416.87 |
Where Michigan sits
The same service costs 4.1 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· 35th of 51
$245
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.