How much rates vary
Facilitymedian $3,236 · 10th to 90th $871 to $5,754Professionalmedian $912 · 10th to 90th $537 to $1,175
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 $851.14 Median $1,071.52 Typical High $6,918.31 | Facility | None | $851.14 | $1,071.52 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,071.52 | Professional | None | $851.14 | $851.14 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $426.58 Typical High $537.03 | Professional | 52 · Reduced service | $426.58 | $426.58 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $213.80 | Professional | 53 · Discontinued | $169.82 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $812.83 | Professional | 54 · Surgery only | $645.65 | $645.65 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $107.15 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $758.58 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,235.94 Median $3,311.31 Typical High $5,623.41 | Facility | None | $3,235.94 | $3,311.31 | $5,623.41 |
BCBS Michigan Setting Professional Modifier None Typical Low $181.97 Median $912.01 Typical High $912.01 | Professional | None | $181.97 | $912.01 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $870.96 Typical High $1,348.96 | Professional | None | $630.96 | $870.96 | $1,348.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $4,897.79 | Facility | None | $1,096.48 | $1,412.54 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,122.02 | Professional | None | $831.76 | $1,047.13 | $1,122.02 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $426.58 Typical High $549.54 | Professional | 52 · Reduced service | $426.58 | $426.58 | $549.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $218.78 | Professional | 53 · Discontinued | $169.82 | $169.82 | $218.78 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $812.83 | Professional | 54 · Surgery only | $645.65 | $645.65 | $812.83 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $162.18 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $109.65 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $109.65 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $758.58 |
Priority Health Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Priority Health Setting Professional Modifier None Typical Low $575.44 Median $851.14 Typical High $1,348.96 | Professional | None | $575.44 | $851.14 | $1,348.96 |
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 $812.83 Median $1,023.29 Typical High $1,258.93 | Professional | None | $812.83 | $1,023.29 | $1,258.93 |
Where Michigan sits
The same service costs 4.4 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· 29th of 51
$912
AK $2,754NJ $631
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.