How much rates vary
Facilitymedian $380 · 10th to 90th $263 to $1,698Professionalmedian $269 · 10th to 90th $170 to $363
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 $204.17 Median $309.03 Typical High $4,897.79 | Facility | None | $204.17 | $309.03 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $309.03 | Professional | None | $204.17 | $239.88 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $117.49 Typical High $154.88 | Professional | 52 · Reduced service | $100.00 | $117.49 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $47.86 Typical High $61.66 | Professional | 53 · Discontinued | $40.74 | $47.86 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $177.83 Typical High $234.42 | Professional | 54 · Surgery only | $151.36 | $177.83 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $35.48 Typical High $46.77 | Professional | 55 · Aftercare only | $30.20 | $35.48 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $23.99 Typical High $30.90 | Professional | 56 · Pre-op care only | $20.42 | $23.99 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $165.96 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $141.25 | $165.96 | $218.78 |
BCBS Michigan Setting Facility Modifier None Typical Low $263.03 Median $269.15 Typical High $467.74 | Facility | None | $263.03 | $269.15 | $467.74 |
BCBS Michigan Setting Professional Modifier None Typical Low $43.65 Median $234.42 Typical High $234.42 | Professional | None | $43.65 | $234.42 | $234.42 |
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 $162.18 Median $245.47 Typical High $398.11 | Professional | None | $162.18 | $245.47 | $398.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $4,073.80 | Facility | None | $269.15 | $389.05 | $4,073.80 |
Health Alliance Plan Setting Professional Modifier None Typical Low $204.17 Median $316.23 Typical High $363.08 | Professional | None | $204.17 | $316.23 | $363.08 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $117.49 Typical High $158.49 | Professional | 52 · Reduced service | $102.33 | $117.49 | $158.49 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $46.77 Typical High $63.10 | Professional | 53 · Discontinued | $40.74 | $46.77 | $63.10 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $173.78 Typical High $239.88 | Professional | 54 · Surgery only | $154.88 | $173.78 | $239.88 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $34.67 Typical High $47.86 | Professional | 55 · Aftercare only | $30.90 | $34.67 | $47.86 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $23.44 Typical High $31.62 | Professional | 56 · Pre-op care only | $20.42 | $23.44 | $31.62 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $162.18 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $144.54 | $162.18 | $223.87 |
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 $151.36 Median $239.88 Typical High $380.19 | Professional | None | $151.36 | $239.88 | $380.19 |
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 $208.93 Median $275.42 Typical High $407.38 | Professional | None | $208.93 | $275.42 | $407.38 |
Where Michigan sits
The same service costs 3.6 times more in Alaska 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· 27th of 51
$269
AK $646TX $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.