How much rates vary
Facilitymedian $302 · 10th to 90th $135 to $1,047Professionalmedian $347 · 10th to 90th $209 to $490
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 $251.19 Median $354.81 Typical High $4,897.79 | Facility | None | $251.19 | $354.81 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $354.81 | Professional | None | $251.19 | $275.42 | $354.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $138.04 Typical High $177.83 | Professional | 52 · Reduced service | $125.89 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $70.79 | Professional | 53 · Discontinued | $50.12 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $204.17 Typical High $269.15 | Professional | 54 · Surgery only | $186.21 | $204.17 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $40.74 Typical High $53.70 | Professional | 55 · Aftercare only | $37.15 | $40.74 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $27.54 Typical High $35.48 | Professional | 56 · Pre-op care only | $25.12 | $27.54 | $35.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $190.55 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $173.78 | $190.55 | $251.19 |
BCBS Michigan Setting Facility Modifier None Typical Low $295.12 Median $302.00 Typical High $512.86 | Facility | None | $295.12 | $302.00 | $512.86 |
BCBS Michigan Setting Professional Modifier None Typical Low $56.23 Median $269.15 Typical High $281.84 | Professional | None | $56.23 | $269.15 | $281.84 |
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 $295.12 Typical High $446.68 | Professional | None | $194.98 | $295.12 | $446.68 |
Health Alliance Plan Setting Facility Modifier None Typical Low $354.81 Median $891.25 Typical High $4,897.79 | Facility | None | $354.81 | $891.25 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $251.19 Median $354.81 Typical High $501.19 | Professional | None | $251.19 | $354.81 | $501.19 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $177.83 | Professional | 52 · Reduced service | $123.03 | $123.03 | $177.83 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | 53 · Discontinued | $50.12 | $50.12 | $70.79 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $263.03 | Professional | 54 · Surgery only | $186.21 | $186.21 | $263.03 |
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 $35.48 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $35.48 |
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 $181.97 Median $275.42 Typical High $426.58 | Professional | None | $181.97 | $275.42 | $426.58 |
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 $363.08 Typical High $524.81 | Professional | None | $257.04 | $363.08 | $524.81 |
Where Michigan sits
The same service costs 3.7 times more in Wisconsin than in Texas. 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· 28th of 51
$347
WI $891TX $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.