How much rates vary
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 $154.88 Median $2,041.74 Typical High $4,897.79 | Facility | None | $154.88 | $2,041.74 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $158.49 Typical High $158.49 | Professional | None | $154.88 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $77.62 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 54 · Surgery only | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | 56 · Pre-op care only | $15.49 | $15.85 | $15.85 |
BCBS Michigan Setting Facility Modifier None Typical Low $758.58 Median $776.25 Typical High $1,318.26 | Facility | None | $758.58 | $776.25 | $1,318.26 |
BCBS Michigan Setting Professional Modifier None Typical Low $295.12 Median $2,089.30 Typical High $2,238.72 | Professional | None | $295.12 | $2,089.30 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $257.04 | Professional | None | $100.00 | $134.90 | $257.04 |
Health Alliance Plan Setting Facility Modifier None Typical Low $323.59 Median $954.99 Typical High $4,897.79 | Facility | None | $323.59 | $954.99 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $131.83 Median $158.49 Typical High $199.53 | Professional | None | $131.83 | $158.49 | $199.53 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 54 · Surgery only | $117.49 | $117.49 | $117.49 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $23.44 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $15.85 |
Priority Health Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $204.17 | Professional | None | $100.00 | $131.83 | $204.17 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,162.28 | Facility | None | $426.58 | $602.56 | $3,162.28 |
United Setting Professional Modifier None Typical Low $138.04 Median $177.83 Typical High $190.55 | Professional | None | $138.04 | $177.83 | $190.55 |
Where Michigan sits
The same service costs 6.0 times more in Alaska 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· 18th of 51
$178
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.