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 $37.15 Median $120.23 Typical High $4,897.79 | Facility | None | $37.15 | $120.23 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $89.13 Typical High $120.23 | Professional | None | $37.15 | $89.13 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $45.71 Typical High $60.26 | Professional | 52 · Reduced service | $18.62 | $45.71 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $18.20 Typical High $23.99 | Professional | 53 · Discontinued | $7.41 | $18.20 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.18 Median $69.18 Typical High $91.20 | Professional | 54 · Surgery only | $28.18 | $69.18 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $13.80 Typical High $18.20 | Professional | 55 · Aftercare only | $5.62 | $13.80 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $9.12 Typical High $12.02 | Professional | 56 · Pre-op care only | $3.72 | $9.12 | $12.02 |
BCBS Michigan Setting Facility Modifier None Typical Low $128.82 Median $131.83 Typical High $223.87 | Facility | None | $128.82 | $131.83 | $223.87 |
BCBS Michigan Setting Professional Modifier None Typical Low $8.51 Median $44.67 Typical High $165.96 | Professional | None | $8.51 | $44.67 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $72.44 Typical High $154.88 | Professional | None | $28.18 | $72.44 | $154.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $37.15 Median $177.83 Typical High $2,951.21 | Facility | None | $37.15 | $177.83 | $2,951.21 |
Health Alliance Plan Setting Professional Modifier None Typical Low $36.31 Median $120.23 Typical High $190.55 | Professional | None | $36.31 | $120.23 | $190.55 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $21.88 Typical High $60.26 | Professional | 52 · Reduced service | $18.20 | $21.88 | $60.26 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.71 Typical High $24.55 | Professional | 53 · Discontinued | $7.24 | $8.71 | $24.55 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $33.11 Typical High $91.20 | Professional | 54 · Surgery only | $26.92 | $33.11 | $91.20 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $6.61 Typical High $18.20 | Professional | 55 · Aftercare only | $5.37 | $6.61 | $18.20 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $4.37 Typical High $12.02 | Professional | 56 · Pre-op care only | $3.63 | $4.37 | $12.02 |
Priority Health Setting Professional Modifier None Typical Low $26.92 Median $67.61 Typical High $138.04 | Professional | None | $26.92 | $67.61 | $138.04 |
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 $38.90 Median $93.33 Typical High $181.97 | Professional | None | $38.90 | $93.33 | $181.97 |
Where Michigan sits
The same service costs 5.4 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· 21st of 51
$110
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.