How much rates vary
Facilitymedian $331 · 10th to 90th $224 to $1,905Professionalmedian $219 · 10th to 90th $126 to $331
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 $177.83 Median $275.42 Typical High $4,897.79 | Facility | None | $177.83 | $275.42 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $218.78 Typical High $275.42 | Professional | None | $173.78 | $218.78 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $107.15 Typical High $138.04 | Professional | 52 · Reduced service | $87.10 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $42.66 Typical High $54.95 | Professional | 53 · Discontinued | $35.48 | $42.66 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $162.18 Typical High $204.17 | Professional | 54 · Surgery only | $131.83 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $32.36 Typical High $40.74 | Professional | 55 · Aftercare only | $26.30 | $32.36 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $21.38 Typical High $27.54 | Professional | 56 · Pre-op care only | $17.38 | $21.38 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $151.36 Typical High $190.55 | Professional | 78 · Unplanned return to OR | $123.03 | $151.36 | $190.55 |
BCBS Michigan Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $389.05 | Facility | None | $223.87 | $223.87 | $389.05 |
BCBS Michigan Setting Professional Modifier None Typical Low $39.81 Median $190.55 Typical High $199.53 | Professional | None | $39.81 | $190.55 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $354.81 | Professional | None | $144.54 | $223.87 | $354.81 |
Health Alliance Plan Setting Facility Modifier None Typical Low $239.88 Median $588.84 Typical High $4,897.79 | Facility | None | $239.88 | $588.84 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $181.97 Median $288.40 Typical High $316.23 | Professional | None | $181.97 | $288.40 | $316.23 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $102.33 Typical High $144.54 | Professional | 52 · Reduced service | $91.20 | $102.33 | $144.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $40.74 Typical High $57.54 | Professional | 53 · Discontinued | $36.31 | $40.74 | $57.54 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $154.88 Typical High $218.78 | Professional | 54 · Surgery only | $134.90 | $154.88 | $218.78 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $30.90 Typical High $43.65 | Professional | 55 · Aftercare only | $27.54 | $30.90 | $43.65 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $20.42 Typical High $28.84 | Professional | 56 · Pre-op care only | $18.20 | $20.42 | $28.84 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $144.54 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $125.89 | $144.54 | $204.17 |
Priority Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Priority Health Setting Professional Modifier None Typical Low $131.83 Median $213.80 Typical High $338.84 | Professional | None | $131.83 | $213.80 | $338.84 |
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 $177.83 Median $239.88 Typical High $338.84 | Professional | None | $177.83 | $239.88 | $338.84 |
Where Michigan sits
The same service costs 3.5 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· 36th of 51
$219
AK $575NJ $166
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.