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 $229.09 Median $323.59 Typical High $4,897.79 | Facility | None | $229.09 | $323.59 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $239.88 Typical High $323.59 | Professional | None | $229.09 | $239.88 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $120.23 Typical High $162.18 | Professional | 52 · Reduced service | $114.82 | $120.23 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $48.98 Typical High $64.57 | Professional | 53 · Discontinued | $45.71 | $48.98 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $181.97 Typical High $239.88 | Professional | 54 · Surgery only | $169.82 | $181.97 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $36.31 Typical High $47.86 | Professional | 55 · Aftercare only | $33.88 | $36.31 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $23.99 Typical High $32.36 | Professional | 56 · Pre-op care only | $22.91 | $23.99 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $169.82 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $158.49 | $169.82 | $223.87 |
BCBS Michigan Setting Facility Modifier None Typical Low $380.19 Median $389.05 Typical High $660.69 | Facility | None | $380.19 | $389.05 | $660.69 |
BCBS Michigan Setting Professional Modifier None Typical Low $42.66 Median $371.54 Typical High $371.54 | Professional | None | $42.66 | $371.54 | $371.54 |
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 $177.83 Median $251.19 Typical High $398.11 | Professional | None | $177.83 | $251.19 | $398.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $177.83 Median $645.65 Typical High $4,897.79 | Facility | None | $177.83 | $645.65 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $338.84 | Professional | None | $229.09 | $316.23 | $338.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $117.49 Typical High $165.96 | Professional | 52 · Reduced service | $114.82 | $117.49 | $165.96 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $47.86 Typical High $66.07 | Professional | 53 · Discontinued | $45.71 | $47.86 | $66.07 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $177.83 Typical High $245.47 | Professional | 54 · Surgery only | $169.82 | $177.83 | $245.47 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $35.48 Typical High $48.98 | Professional | 55 · Aftercare only | $34.67 | $35.48 | $48.98 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $23.99 Typical High $33.11 | Professional | 56 · Pre-op care only | $22.91 | $23.99 | $33.11 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $165.96 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $158.49 | $165.96 | $229.09 |
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 $169.82 Median $239.88 Typical High $380.19 | Professional | None | $169.82 | $239.88 | $380.19 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,258.93 | Facility | None | $91.20 | $177.83 | $1,258.93 |
United Setting Professional Modifier None Typical Low $218.78 Median $275.42 Typical High $363.08 | Professional | None | $218.78 | $275.42 | $363.08 |
Where Michigan sits
The same service costs 4.2 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· 17th of 51
$302
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.