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 $229.09 Median $912.01 Typical High $4,897.79 | Facility | None | $229.09 | $912.01 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $524.81 Typical High $912.01 | Professional | None | $151.36 | $524.81 | $912.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $257.04 Typical High $457.09 | Professional | 52 · Reduced service | $114.82 | $257.04 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $102.33 Typical High $186.21 | Professional | 53 · Discontinued | $46.77 | $102.33 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $380.19 Typical High $691.83 | Professional | 54 · Surgery only | $173.78 | $380.19 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $75.86 Typical High $138.04 | Professional | 55 · Aftercare only | $34.67 | $75.86 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $51.29 Typical High $91.20 | Professional | 56 · Pre-op care only | $22.91 | $51.29 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $616.60 | Professional | None | $144.54 | $144.54 | $616.60 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,698.24 Median $1,737.80 Typical High $3,019.95 | Facility | None | $1,698.24 | $1,737.80 | $3,019.95 |
BCBS Michigan Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $338.84 | Professional | None | $213.80 | $245.47 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $512.86 Typical High $1,174.90 | Professional | None | $154.88 | $512.86 | $1,174.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $239.88 Median $1,445.44 Typical High $2,951.21 | Facility | None | $239.88 | $1,445.44 | $2,951.21 |
Health Alliance Plan Setting Professional Modifier None Typical Low $194.98 Median $616.60 Typical High $933.25 | Professional | None | $194.98 | $616.60 | $933.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $239.88 Typical High $467.74 | Professional | 52 · Reduced service | $112.20 | $239.88 | $467.74 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $95.50 Typical High $186.21 | Professional | 53 · Discontinued | $44.67 | $95.50 | $186.21 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $363.08 Typical High $707.95 | Professional | 54 · Surgery only | $165.96 | $363.08 | $707.95 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $72.44 Typical High $141.25 | Professional | 55 · Aftercare only | $33.11 | $72.44 | $141.25 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $47.86 Typical High $93.33 | Professional | 56 · Pre-op care only | $22.39 | $47.86 | $93.33 |
Priority Health Setting Professional Modifier None Typical Low $147.91 Median $512.86 Typical High $891.25 | Professional | None | $147.91 | $512.86 | $891.25 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,162.28 | Facility | None | $426.58 | $602.56 | $3,162.28 |
United Setting Professional Modifier None Typical Low $194.98 Median $602.56 Typical High $933.25 | Professional | None | $194.98 | $602.56 | $933.25 |
Where Michigan sits
The same service costs 5.2 times more in Wisconsin than in Hawaii. 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· 49th of 51
$339
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.