How much rates vary
Facilitymedian $513 · 10th to 90th $126 to $1,072Professionalmedian $316 · 10th to 90th $182 to $437
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 $257.04 Median $363.08 Typical High $4,897.79 | Facility | None | $257.04 | $363.08 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $363.08 | Professional | None | $251.19 | $281.84 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $141.25 Typical High $181.97 | Professional | 52 · Reduced service | $125.89 | $141.25 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $56.23 Typical High $72.44 | Professional | 53 · Discontinued | $50.12 | $56.23 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $208.93 Typical High $275.42 | Professional | 54 · Surgery only | $190.55 | $208.93 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $41.69 Typical High $54.95 | Professional | 55 · Aftercare only | $38.02 | $41.69 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $28.18 Typical High $36.31 | Professional | 56 · Pre-op care only | $25.12 | $28.18 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $194.98 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $177.83 | $194.98 | $257.04 |
BCBS Michigan Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $891.25 | Facility | None | $512.86 | $512.86 | $891.25 |
BCBS Michigan Setting Professional Modifier None Typical Low $50.12 Median $275.42 Typical High $295.12 | Professional | None | $50.12 | $275.42 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $302.00 Typical High $446.68 | Professional | None | $194.98 | $302.00 | $446.68 |
Health Alliance Plan Setting Facility Modifier None Typical Low $363.08 Median $776.25 Typical High $4,897.79 | Facility | None | $363.08 | $776.25 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $436.52 | Professional | None | $251.19 | $363.08 | $436.52 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $181.97 | Professional | 52 · Reduced service | $123.03 | $123.03 | $181.97 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $72.44 | Professional | 53 · Discontinued | $50.12 | $50.12 | $72.44 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $269.15 | Professional | 54 · Surgery only | $186.21 | $186.21 | $269.15 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $53.70 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $53.70 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $36.31 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $36.31 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $173.78 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $173.78 | $173.78 | $251.19 |
Priority Health Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Priority Health Setting Professional Modifier None Typical Low $186.21 Median $275.42 Typical High $436.52 | Professional | None | $186.21 | $275.42 | $436.52 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,258.93 | Facility | None | $91.20 | $177.83 | $1,258.93 |
United Setting Professional Modifier None Typical Low $257.04 Median $354.81 Typical High $478.63 | Professional | None | $257.04 | $354.81 | $478.63 |
Where Michigan sits
The same service costs 3.7 times more in Wisconsin than in Utah. 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· 34th of 51
$324
WI $891UT $240
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.