How much rates vary
Facilitymedian $132 · 10th to 90th $26 to $389Professionalmedian $28 · 10th to 90th $17 to $45
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 $20.42 Median $26.92 Typical High $38.90 | Facility | None | $20.42 | $26.92 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $28.84 Typical High $37.15 | Professional | None | $20.42 | $28.84 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $14.45 Typical High $18.62 | Professional | 52 · Reduced service | $10.23 | $14.45 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $5.75 Typical High $7.59 | Professional | 53 · Discontinued | $4.07 | $5.75 | $7.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.14 Median $21.88 Typical High $28.18 | Professional | 54 · Surgery only | $15.14 | $21.88 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $4.37 Typical High $5.62 | Professional | 55 · Aftercare only | $3.09 | $4.37 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.88 Typical High $3.72 | Professional | 56 · Pre-op care only | $2.04 | $2.88 | $3.72 |
BCBS Michigan Setting Facility Modifier None Typical Low $131.83 Median $169.82 Typical High $416.87 | Facility | None | $131.83 | $169.82 | $416.87 |
BCBS Michigan Setting Professional Modifier None Typical Low $3.80 Median $19.95 Typical High $21.38 | Professional | None | $3.80 | $19.95 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $28.18 Typical High $52.48 | Professional | None | $17.38 | $28.18 | $52.48 |
Health Alliance Plan Setting Facility Modifier None Typical Low $20.89 Median $93.33 Typical High $229.09 | Facility | None | $20.89 | $93.33 | $229.09 |
Health Alliance Plan Setting Professional Modifier None Typical Low $20.42 Median $33.88 Typical High $41.69 | Professional | None | $20.42 | $33.88 | $41.69 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.47 Typical High $18.62 | Professional | 52 · Reduced service | $10.00 | $10.47 | $18.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.27 Typical High $7.41 | Professional | 53 · Discontinued | $3.98 | $4.27 | $7.41 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $14.79 Median $15.85 Typical High $27.54 | Professional | 54 · Surgery only | $14.79 | $15.85 | $27.54 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.95 Median $3.16 Typical High $5.50 | Professional | 55 · Aftercare only | $2.95 | $3.16 | $5.50 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.09 Typical High $3.72 | Professional | 56 · Pre-op care only | $2.00 | $2.09 | $3.72 |
Priority Health Setting Professional Modifier None Typical Low $16.22 Median $24.55 Typical High $46.77 | Professional | None | $16.22 | $24.55 | $46.77 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,202.26 | Facility | None | $91.20 | $177.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $19.50 Median $30.90 Typical High $46.77 | Professional | None | $19.50 | $30.90 | $46.77 |
Where Michigan sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 31st of 51
$33.88
WI $87.10KY $25.12
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.