How much rates vary
Facilitymedian $3,236 · 10th to 90th $813 to $5,754Professionalmedian $912 · 10th to 90th $525 to $1,175
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 $776.25 Median $1,023.29 Typical High $5,754.40 | Facility | None | $776.25 | $1,023.29 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $1,023.29 | Professional | None | $776.25 | $851.14 | $1,023.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $426.58 Typical High $512.86 | Professional | 52 · Reduced service | $389.05 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $173.78 Typical High $208.93 | Professional | 53 · Discontinued | $154.88 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $645.65 Typical High $776.25 | Professional | 54 · Surgery only | $588.84 | $645.65 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $128.82 Typical High $154.88 | Professional | 55 · Aftercare only | $117.49 | $128.82 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $85.11 Typical High $102.33 | Professional | 56 · Pre-op care only | $77.62 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $602.56 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $549.54 | $602.56 | $724.44 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,235.94 Median $3,311.31 Typical High $5,623.41 | Facility | None | $3,235.94 | $3,311.31 | $5,623.41 |
BCBS Michigan Setting Professional Modifier None Typical Low $144.54 Median $524.81 Typical High $831.76 | Professional | None | $144.54 | $524.81 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $1,258.93 | Professional | None | $660.69 | $891.25 | $1,258.93 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $4,897.79 | Facility | None | $1,174.90 | $1,995.26 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,174.90 | Professional | None | $812.83 | $1,000.00 | $1,174.90 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $436.52 Typical High $588.84 | Professional | 52 · Reduced service | $436.52 | $436.52 | $588.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | 53 · Discontinued | $173.78 | $173.78 | $234.42 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $870.96 | Professional | 54 · Surgery only | $645.65 | $645.65 | $870.96 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $177.83 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $117.49 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $117.49 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $812.83 |
Priority Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Priority Health Setting Professional Modifier None Typical Low $616.60 Median $851.14 Typical High $1,230.27 | Professional | None | $616.60 | $851.14 | $1,230.27 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $6,025.60 | Facility | None | $602.56 | $1,230.27 | $6,025.60 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,288.25 | Professional | None | $776.25 | $1,000.00 | $1,288.25 |
Where Michigan sits
The same service costs 5.2 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· 39th of 51
$933
AK $3,548UT $676
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.