How much rates vary
Facilitymedian $316 · 10th to 90th $214 to $2,042Professionalmedian $204 · 10th to 90th $123 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 $154.88 Median $263.03 Typical High $4,897.79 | Facility | None | $154.88 | $263.03 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $199.53 Typical High $263.03 | Professional | None | $151.36 | $199.53 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $100.00 Typical High $131.83 | Professional | 52 · Reduced service | $75.86 | $100.00 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $39.81 Typical High $52.48 | Professional | 53 · Discontinued | $30.20 | $39.81 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $151.36 Typical High $194.98 | Professional | 54 · Surgery only | $114.82 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $30.20 Typical High $38.90 | Professional | 55 · Aftercare only | $22.91 | $30.20 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $19.95 Typical High $26.30 | Professional | 56 · Pre-op care only | $15.14 | $19.95 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $141.25 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $107.15 | $141.25 | $181.97 |
BCBS Michigan Setting Facility Modifier None Typical Low $213.80 Median $218.78 Typical High $371.54 | Facility | None | $213.80 | $218.78 | $371.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $30.20 Median $169.82 Typical High $177.83 | Professional | None | $30.20 | $169.82 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $323.59 | Professional | None | $120.23 | $181.97 | $323.59 |
Health Alliance Plan Setting Facility Modifier None Typical Low $218.78 Median $512.86 Typical High $4,897.79 | Facility | None | $218.78 | $512.86 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $154.88 Median $239.88 Typical High $295.12 | Professional | None | $154.88 | $239.88 | $295.12 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $134.90 | Professional | 52 · Reduced service | $77.62 | $77.62 | $134.90 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $53.70 | Professional | 53 · Discontinued | $30.90 | $30.90 | $53.70 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $204.17 | Professional | 54 · Surgery only | $114.82 | $114.82 | $204.17 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $40.74 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $40.74 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $26.92 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $26.92 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $107.15 Typical High $190.55 | Professional | 78 · Unplanned return to OR | $107.15 | $107.15 | $190.55 |
Priority Health Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $295.12 | Professional | None | $112.20 | $177.83 | $295.12 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $4,265.80 | Facility | None | $426.58 | $602.56 | $4,265.80 |
United Setting Professional Modifier None Typical Low $154.88 Median $218.78 Typical High $309.03 | Professional | None | $154.88 | $218.78 | $309.03 |
Where Michigan sits
The same service costs 3.8 times more in Wisconsin than in Kentucky. 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· 42nd of 51
$209
WI $631KY $166
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.