How much rates vary
Facilitymedian $1,514 · 10th to 90th $631 to $3,388Professionalmedian $417 · 10th to 90th $257 to $550
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 $354.81 Median $457.09 Typical High $4,897.79 | Facility | None | $354.81 | $457.09 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $354.81 Typical High $457.09 | Professional | None | $346.74 | $354.81 | $457.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $229.09 | Professional | 52 · Reduced service | $177.83 | $177.83 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $72.44 Typical High $93.33 | Professional | 53 · Discontinued | $70.79 | $72.44 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $346.74 | Professional | 54 · Surgery only | $269.15 | $269.15 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $69.18 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $251.19 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $251.19 | $251.19 | $323.59 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,630.27 | Facility | None | $1,513.56 | $1,513.56 | $2,630.27 |
BCBS Michigan Setting Professional Modifier None Typical Low $81.28 Median $257.04 Typical High $407.38 | Professional | None | $81.28 | $257.04 | $407.38 |
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 $263.03 Median $398.11 Typical High $575.44 | Professional | None | $263.03 | $398.11 | $575.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $467.74 Median $954.99 Typical High $4,897.79 | Facility | None | $467.74 | $954.99 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $549.54 | Professional | None | $354.81 | $446.68 | $549.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $234.42 | Professional | 52 · Reduced service | $177.83 | $177.83 | $234.42 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $93.33 | Professional | 53 · Discontinued | $70.79 | $70.79 | $93.33 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $346.74 | Professional | 54 · Surgery only | $269.15 | $269.15 | $346.74 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $70.79 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $70.79 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $46.77 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $46.77 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $251.19 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $251.19 | $251.19 | $323.59 |
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 $263.03 Median $398.11 Typical High $562.34 | Professional | None | $263.03 | $398.11 | $562.34 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $5,248.07 | Facility | None | $602.56 | $1,230.27 | $5,248.07 |
United Setting Professional Modifier None Typical Low $363.08 Median $467.74 Typical High $588.84 | Professional | None | $363.08 | $467.74 | $588.84 |
Where Michigan sits
The same service costs 4.9 times more in Alaska 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· 33rd of 51
$447
AK $1,479UT $302
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.