How much rates vary
Facilitymedian $7,413 · 10th to 90th $1,023 to $11,482Professionalmedian $813 · 10th to 90th $135 to $2,818
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 $208.93 Median $2,089.30 Typical High $4,897.79 | Facility | None | $208.93 | $2,089.30 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $1,698.24 Typical High $2,290.87 | Professional | None | $173.78 | $1,698.24 | $2,290.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $851.14 Typical High $1,096.48 | Professional | 52 · Reduced service | $104.71 | $851.14 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $338.84 Typical High $436.52 | Professional | 53 · Discontinued | $41.69 | $338.84 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $1,288.25 Typical High $1,659.59 | Professional | 54 · Surgery only | $154.88 | $1,288.25 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $257.04 Typical High $331.13 | Professional | 55 · Aftercare only | $31.62 | $257.04 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $169.82 Typical High $218.78 | Professional | 56 · Pre-op care only | $20.89 | $169.82 | $218.78 |
BCBS Michigan Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $12,882.50 | Facility | None | $7,413.10 | $7,413.10 | $12,882.50 |
BCBS Michigan Setting Professional Modifier None Typical Low $36.31 Median $194.98 Typical High $204.17 | Professional | None | $36.31 | $194.98 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $245.47 Typical High $2,818.38 | Professional | None | $134.90 | $245.47 | $2,818.38 |
Health Alliance Plan Setting Facility Modifier None Typical Low $218.78 Median $2,187.76 Typical High $11,481.54 | Facility | None | $218.78 | $2,187.76 | $11,481.54 |
Health Alliance Plan Setting Professional Modifier None Typical Low $199.53 Median $2,089.30 Typical High $2,630.27 | Professional | None | $199.53 | $2,089.30 | $2,630.27 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $102.33 Typical High $1,122.02 | Professional | 52 · Reduced service | $100.00 | $102.33 | $1,122.02 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $40.74 Typical High $446.68 | Professional | 53 · Discontinued | $39.81 | $40.74 | $446.68 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $154.88 Typical High $1,698.24 | Professional | 54 · Surgery only | $147.91 | $154.88 | $1,698.24 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $30.90 Typical High $338.84 | Professional | 55 · Aftercare only | $29.51 | $30.90 | $338.84 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $20.42 Typical High $223.87 | Professional | 56 · Pre-op care only | $19.95 | $20.42 | $223.87 |
Priority Health Setting Professional Modifier None Typical Low $114.82 Median $245.47 Typical High $2,691.53 | Professional | None | $114.82 | $245.47 | $2,691.53 |
United Setting Facility Modifier None Typical Low $891.25 Median $2,691.53 Typical High $9,120.11 | Facility | None | $891.25 | $2,691.53 | $9,120.11 |
United Setting Professional Modifier None Typical Low $194.98 Median $1,288.25 Typical High $3,311.31 | Professional | None | $194.98 | $1,288.25 | $3,311.31 |
Where Michigan sits
The same service costs 11.2 times more in Oklahoma 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· 19th of 51
$1,950
OK $2,818HI $251
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.