How much rates vary
Facilitymedian $550 · 10th to 90th $141 to $1,148Professionalmedian $331 · 10th to 90th $234 to $468
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 $257.04 Median $363.08 Typical High $4,897.79 | Facility | None | $257.04 | $363.08 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $363.08 | Professional | None | $251.19 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $144.54 Typical High $181.97 | Professional | 52 · Reduced service | $125.89 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $57.54 Typical High $74.13 | Professional | 53 · Discontinued | $51.29 | $57.54 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $218.78 Typical High $275.42 | Professional | 54 · Surgery only | $190.55 | $218.78 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $43.65 Typical High $54.95 | Professional | 55 · Aftercare only | $38.02 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $28.84 Typical High $36.31 | Professional | 56 · Pre-op care only | $25.12 | $28.84 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $204.17 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $177.83 | $204.17 | $257.04 |
BCBS Michigan Setting Facility Modifier None Typical Low $549.54 Median $562.34 Typical High $977.24 | Facility | None | $549.54 | $562.34 | $977.24 |
BCBS Michigan Setting Professional Modifier None Typical Low $60.26 Median $302.00 Typical High $316.23 | Professional | None | $60.26 | $302.00 | $316.23 |
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 $199.53 Median $302.00 Typical High $467.74 | Professional | None | $199.53 | $302.00 | $467.74 |
Health Alliance Plan Setting Facility Modifier None Typical Low $371.54 Median $912.01 Typical High $2,884.03 | Facility | None | $371.54 | $912.01 | $2,884.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $251.19 Median $371.54 Typical High $478.63 | Professional | None | $251.19 | $371.54 | $478.63 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | 52 · Reduced service | $125.89 | $125.89 | $186.21 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | 53 · Discontinued | $51.29 | $51.29 | $74.13 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $275.42 | Professional | 54 · Surgery only | $190.55 | $190.55 | $275.42 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $54.95 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $54.95 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $37.15 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $37.15 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $177.83 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $177.83 | $177.83 | $257.04 |
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 $186.21 Median $281.84 Typical High $457.09 | Professional | None | $186.21 | $281.84 | $457.09 |
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 $275.42 Median $371.54 Typical High $512.86 | Professional | None | $275.42 | $371.54 | $512.86 |
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· 36th of 51
$339
WI $933TX $251
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.