How much rates vary
Facilitymedian $2,884 · 10th to 90th $631 to $5,129Professionalmedian $468 · 10th to 90th $93 to $631
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 $416.87 Median $549.54 Typical High $4,897.79 | Facility | None | $416.87 | $549.54 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $426.58 Typical High $549.54 | Professional | None | $407.38 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $208.93 Typical High $275.42 | Professional | 52 · Reduced service | $204.17 | $208.93 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $85.11 Typical High $112.20 | Professional | 53 · Discontinued | $81.28 | $85.11 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $316.23 Typical High $416.87 | Professional | 54 · Surgery only | $309.03 | $316.23 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $63.10 Typical High $83.18 | Professional | 55 · Aftercare only | $61.66 | $63.10 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $42.66 Typical High $54.95 | Professional | 56 · Pre-op care only | $40.74 | $42.66 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $295.12 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $288.40 | $295.12 | $389.05 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,884.03 Median $2,951.21 Typical High $5,128.61 | Facility | None | $2,884.03 | $2,951.21 | $5,128.61 |
BCBS Michigan Setting Professional Modifier None Typical Low $79.43 Median $295.12 Typical High $467.74 | Professional | None | $79.43 | $295.12 | $467.74 |
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 $316.23 Median $457.09 Typical High $758.58 | Professional | None | $316.23 | $457.09 | $758.58 |
Health Alliance Plan Setting Facility Modifier None Typical Low $575.44 Median $1,412.54 Typical High $4,897.79 | Facility | None | $575.44 | $1,412.54 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $616.60 | Professional | None | $416.87 | $549.54 | $616.60 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $281.84 | Professional | 52 · Reduced service | $208.93 | $208.93 | $281.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $114.82 | Professional | 53 · Discontinued | $83.18 | $83.18 | $114.82 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $309.03 Typical High $426.58 | Professional | 54 · Surgery only | $309.03 | $309.03 | $426.58 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $85.11 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $85.11 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $57.54 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $57.54 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $398.11 |
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 $302.00 Median $446.68 Typical High $691.83 | Professional | None | $302.00 | $446.68 | $691.83 |
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 $416.87 Median $524.81 Typical High $676.08 | Professional | None | $416.87 | $524.81 | $676.08 |
Where Michigan sits
The same service costs 4.0 times more in Alaska than in New Jersey. 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· 32nd of 51
$468
AK $1,318NJ $331
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.