How much rates vary
Facilitymedian $646 · 10th to 90th $339 to $2,042Professionalmedian $339 · 10th to 90th $100 to $603
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 $112.20 Median $489.78 Typical High $4,897.79 | Facility | None | $112.20 | $489.78 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $354.81 Typical High $501.19 | Professional | None | $112.20 | $354.81 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $177.83 Typical High $251.19 | Professional | 52 · Reduced service | $56.23 | $177.83 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $70.79 Typical High $100.00 | Professional | 53 · Discontinued | $22.39 | $70.79 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $263.03 Typical High $371.54 | Professional | 54 · Surgery only | $85.11 | $263.03 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $52.48 Typical High $74.13 | Professional | 55 · Aftercare only | $16.98 | $52.48 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $35.48 Typical High $50.12 | Professional | 56 · Pre-op care only | $11.22 | $35.48 | $50.12 |
Ambetter Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
BCBS Michigan Setting Facility Modifier None Typical Low $575.44 Median $741.31 Typical High $1,819.70 | Facility | None | $575.44 | $741.31 | $1,819.70 |
BCBS Michigan Setting Professional Modifier None Typical Low $22.91 Median $114.82 Typical High $114.82 | Professional | None | $22.91 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $147.91 Typical High $645.65 | Professional | None | $87.10 | $147.91 | $645.65 |
Health Alliance Plan Setting Facility Modifier None Typical Low $338.84 Median $1,023.29 Typical High $4,897.79 | Facility | None | $338.84 | $1,023.29 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $112.20 Median $446.68 Typical High $575.44 | Professional | None | $112.20 | $446.68 | $575.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $56.23 Typical High $251.19 | Professional | 52 · Reduced service | $53.70 | $56.23 | $251.19 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.39 Typical High $100.00 | Professional | 53 · Discontinued | $21.88 | $22.39 | $100.00 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $85.11 Typical High $371.54 | Professional | 54 · Surgery only | $81.28 | $85.11 | $371.54 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.98 Typical High $74.13 | Professional | 55 · Aftercare only | $16.22 | $16.98 | $74.13 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $11.22 Typical High $50.12 | Professional | 56 · Pre-op care only | $10.72 | $11.22 | $50.12 |
Priority Health Setting Professional Modifier None Typical Low $60.26 Median $257.04 Typical High $562.34 | Professional | None | $60.26 | $257.04 | $562.34 |
United Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $1,995.26 | Facility | None | $288.40 | $426.58 | $1,995.26 |
United Setting Professional Modifier None Typical Low $114.82 Median $380.19 Typical High $676.08 | Professional | None | $114.82 | $380.19 | $676.08 |
Where Michigan sits
The same service costs 7.8 times more in Oklahoma 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
$417
OK $1,148NE $148
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.