How much rates vary
Facilitymedian $372 · 10th to 90th $251 to $1,288Professionalmedian $200 · 10th to 90th $112 to $295
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 $147.91 Median $239.88 Typical High $4,897.79 | Facility | None | $147.91 | $239.88 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $181.97 Typical High $239.88 | Professional | None | $147.91 | $181.97 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $91.20 Typical High $120.23 | Professional | 52 · Reduced service | $74.13 | $91.20 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $36.31 Typical High $47.86 | Professional | 53 · Discontinued | $29.51 | $36.31 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $134.90 Typical High $181.97 | Professional | 54 · Surgery only | $109.65 | $134.90 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $26.92 Typical High $36.31 | Professional | 55 · Aftercare only | $22.39 | $26.92 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $18.20 Typical High $23.99 | Professional | 56 · Pre-op care only | $14.79 | $18.20 | $23.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $125.89 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $102.33 | $125.89 | $169.82 |
BCBS Michigan Setting Facility Modifier None Typical Low $251.19 Median $257.04 Typical High $436.52 | Facility | None | $251.19 | $257.04 | $436.52 |
BCBS Michigan Setting Professional Modifier None Typical Low $35.48 Median $169.82 Typical High $199.53 | Professional | None | $35.48 | $169.82 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $181.97 Typical High $302.00 | Professional | None | $112.20 | $181.97 | $302.00 |
Health Alliance Plan Setting Facility Modifier None Typical Low $141.25 Median $588.84 Typical High $4,897.79 | Facility | None | $141.25 | $588.84 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $141.25 Median $234.42 Typical High $309.03 | Professional | None | $141.25 | $234.42 | $309.03 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $77.62 Typical High $114.82 | Professional | 52 · Reduced service | $70.79 | $77.62 | $114.82 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.90 Typical High $46.77 | Professional | 53 · Discontinued | $28.18 | $30.90 | $46.77 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $117.49 Typical High $173.78 | Professional | 54 · Surgery only | $107.15 | $117.49 | $173.78 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $23.44 Typical High $34.67 | Professional | 55 · Aftercare only | $21.38 | $23.44 | $34.67 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $15.49 Typical High $23.44 | Professional | 56 · Pre-op care only | $14.13 | $15.49 | $23.44 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $100.00 Median $109.65 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $100.00 | $109.65 | $162.18 |
Priority Health Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $288.40 | Professional | None | $104.71 | $173.78 | $288.40 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $2,951.21 | Facility | None | $426.58 | $602.56 | $2,951.21 |
United Setting Professional Modifier None Typical Low $147.91 Median $218.78 Typical High $323.59 | Professional | None | $147.91 | $218.78 | $323.59 |
Where Michigan sits
The same service costs 3.8 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· 26th of 51
$219
WI $589HI $155
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.