How much rates vary
Facilitymedian $427 · 10th to 90th $295 to $1,905Professionalmedian $263 · 10th to 90th $195 to $363
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 $204.17 Median $309.03 Typical High $4,897.79 | Facility | None | $204.17 | $309.03 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $245.47 Typical High $309.03 | Professional | None | $204.17 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $123.03 Typical High $154.88 | Professional | 52 · Reduced service | $100.00 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $48.98 Typical High $61.66 | Professional | 53 · Discontinued | $40.74 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $186.21 Typical High $229.09 | Professional | 54 · Surgery only | $151.36 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $37.15 Typical High $45.71 | Professional | 55 · Aftercare only | $30.20 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $24.55 Typical High $30.90 | Professional | 56 · Pre-op care only | $20.42 | $24.55 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $173.78 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $141.25 | $173.78 | $213.80 |
BCBS Michigan Setting Facility Modifier None Typical Low $295.12 Median $302.00 Typical High $524.81 | Facility | None | $295.12 | $302.00 | $524.81 |
BCBS Michigan Setting Professional Modifier None Typical Low $39.81 Median $234.42 Typical High $234.42 | Professional | None | $39.81 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $251.19 Typical High $389.05 | Professional | None | $162.18 | $251.19 | $389.05 |
Health Alliance Plan Setting Facility Modifier None Typical Low $309.03 Median $660.69 Typical High $4,897.79 | Facility | None | $309.03 | $660.69 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $204.17 Median $309.03 Typical High $363.08 | Professional | None | $204.17 | $309.03 | $363.08 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $158.49 | Professional | 52 · Reduced service | $102.33 | $102.33 | $158.49 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $63.10 | Professional | 53 · Discontinued | $41.69 | $41.69 | $63.10 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $154.88 Typical High $239.88 | Professional | 54 · Surgery only | $154.88 | $154.88 | $239.88 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $47.86 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $47.86 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $31.62 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $31.62 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $144.54 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $144.54 | $144.54 | $223.87 |
Priority Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Priority Health Setting Professional Modifier None Typical Low $151.36 Median $234.42 Typical High $363.08 | Professional | None | $151.36 | $234.42 | $363.08 |
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 $208.93 Median $281.84 Typical High $398.11 | Professional | None | $208.93 | $281.84 | $398.11 |
Where Michigan sits
The same service costs 4.3 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· 34th of 51
$282
WI $794KY $186
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.