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 $389.05 Median $575.44 Typical High $4,897.79 | Facility | None | $389.05 | $575.44 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $575.44 | Professional | None | $389.05 | $426.58 | $575.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $213.80 Typical High $288.40 | Professional | 52 · Reduced service | $194.98 | $213.80 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $85.11 Typical High $114.82 | Professional | 53 · Discontinued | $77.62 | $85.11 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $316.23 Typical High $436.52 | Professional | 54 · Surgery only | $288.40 | $316.23 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $63.10 Typical High $87.10 | Professional | 55 · Aftercare only | $57.54 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $42.66 Typical High $57.54 | Professional | 56 · Pre-op care only | $38.90 | $42.66 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $295.12 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $269.15 | $295.12 | $407.38 |
BCBS Michigan Setting Facility Modifier None Typical Low $363.08 Median $371.54 Typical High $630.96 | Facility | None | $363.08 | $371.54 | $630.96 |
BCBS Michigan Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $691.83 | Professional | None | $288.40 | $436.52 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $398.11 Typical High $676.08 | Professional | None | $251.19 | $398.11 | $676.08 |
Health Alliance Plan Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $4,897.79 | Facility | None | $407.38 | $588.84 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $588.84 | Professional | None | $380.19 | $489.78 | $588.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $204.17 Typical High $295.12 | Professional | 52 · Reduced service | $190.55 | $204.17 | $295.12 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $81.28 Typical High $117.49 | Professional | 53 · Discontinued | $75.86 | $81.28 | $117.49 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $302.00 Typical High $436.52 | Professional | 54 · Surgery only | $288.40 | $302.00 | $436.52 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $60.26 Typical High $87.10 | Professional | 55 · Aftercare only | $57.54 | $60.26 | $87.10 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $40.74 Typical High $58.88 | Professional | 56 · Pre-op care only | $38.02 | $40.74 | $58.88 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $281.84 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $269.15 | $281.84 | $407.38 |
Priority Health Setting Professional Modifier None Typical Low $251.19 Median $389.05 Typical High $630.96 | Professional | None | $251.19 | $389.05 | $630.96 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,238.72 Typical High $7,762.47 | Facility | None | $851.14 | $2,238.72 | $7,762.47 |
United Setting Professional Modifier None Typical Low $338.84 Median $416.87 Typical High $562.34 | Professional | None | $338.84 | $416.87 | $562.34 |
Where Michigan sits
The same service costs 4.3 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· 26th of 51
$447
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.