How much rates vary
Facilitymedian $240 · 10th to 90th $158 to $2,692Professionalmedian $162 · 10th to 90th $98 to $240
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 $141.25 Median $229.09 Typical High $4,897.79 | Facility | None | $141.25 | $229.09 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $229.09 | Professional | None | $138.04 | $165.96 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $85.11 Typical High $114.82 | Professional | 52 · Reduced service | $69.18 | $85.11 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $33.88 Typical High $45.71 | Professional | 53 · Discontinued | $27.54 | $33.88 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $125.89 Typical High $173.78 | Professional | 54 · Surgery only | $104.71 | $125.89 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $25.12 Typical High $34.67 | Professional | 55 · Aftercare only | $20.89 | $25.12 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $16.98 Typical High $22.91 | Professional | 56 · Pre-op care only | $13.80 | $16.98 | $22.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $117.49 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $97.72 | $117.49 | $162.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $275.42 | Facility | None | $158.49 | $158.49 | $275.42 |
BCBS Michigan Setting Professional Modifier None Typical Low $30.90 Median $147.91 Typical High $154.88 | Professional | None | $30.90 | $147.91 | $154.88 |
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 $109.65 Median $162.18 Typical High $269.15 | Professional | None | $109.65 | $162.18 | $269.15 |
Health Alliance Plan Setting Facility Modifier None Typical Low $165.96 Median $457.09 Typical High $4,897.79 | Facility | None | $165.96 | $457.09 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $138.04 Median $213.80 Typical High $239.88 | Professional | None | $138.04 | $213.80 | $239.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $77.62 Typical High $117.49 | Professional | 52 · Reduced service | $69.18 | $77.62 | $117.49 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.90 Typical High $46.77 | Professional | 53 · Discontinued | $28.18 | $30.90 | $46.77 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $114.82 Typical High $173.78 | Professional | 54 · Surgery only | $104.71 | $114.82 | $173.78 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $22.91 Typical High $35.48 | Professional | 55 · Aftercare only | $20.89 | $22.91 | $35.48 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $15.49 Typical High $23.44 | Professional | 56 · Pre-op care only | $13.80 | $15.49 | $23.44 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $107.15 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $97.72 | $107.15 | $162.18 |
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 $102.33 Median $162.18 Typical High $257.04 | Professional | None | $102.33 | $162.18 | $257.04 |
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 $134.90 Median $177.83 Typical High $251.19 | Professional | None | $134.90 | $177.83 | $251.19 |
Where Michigan sits
The same service costs 3.4 times more in Alaska than in Florida. 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
$162
AK $447FL $132
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.