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 $288.40 Median $380.19 Typical High $4,897.79 | Facility | None | $288.40 | $380.19 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $380.19 | Professional | None | $288.40 | $288.40 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $144.54 Typical High $190.55 | Professional | 52 · Reduced service | $144.54 | $144.54 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $75.86 | Professional | 53 · Discontinued | $57.54 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $218.78 Typical High $288.40 | Professional | 54 · Surgery only | $218.78 | $218.78 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $43.65 Typical High $57.54 | Professional | 55 · Aftercare only | $43.65 | $43.65 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $38.02 | Professional | 56 · Pre-op care only | $28.84 | $28.84 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $204.17 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $204.17 | $204.17 | $269.15 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,548.82 Median $1,584.89 Typical High $2,754.23 | Facility | None | $1,548.82 | $1,584.89 | $2,754.23 |
BCBS Michigan Setting Professional Modifier None Typical Low $52.48 Median $309.03 Typical High $467.74 | Professional | None | $52.48 | $309.03 | $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 $218.78 Median $309.03 Typical High $489.78 | Professional | None | $218.78 | $309.03 | $489.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $302.00 Median $1,412.54 Typical High $4,897.79 | Facility | None | $302.00 | $1,412.54 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $288.40 Median $363.08 Typical High $407.38 | Professional | None | $288.40 | $363.08 | $407.38 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $144.54 Typical High $190.55 | Professional | 52 · Reduced service | $144.54 | $144.54 | $190.55 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $77.62 | Professional | 53 · Discontinued | $57.54 | $57.54 | $77.62 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $218.78 Typical High $288.40 | Professional | 54 · Surgery only | $218.78 | $218.78 | $288.40 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $43.65 Typical High $57.54 | Professional | 55 · Aftercare only | $43.65 | $43.65 | $57.54 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $38.90 | Professional | 56 · Pre-op care only | $28.84 | $28.84 | $38.90 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $204.17 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $204.17 | $204.17 | $269.15 |
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 $213.80 Median $302.00 Typical High $467.74 | Professional | None | $213.80 | $302.00 | $467.74 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,162.28 | Facility | None | $426.58 | $602.56 | $3,162.28 |
United Setting Professional Modifier None Typical Low $281.84 Median $346.74 Typical High $446.68 | Professional | None | $281.84 | $346.74 | $446.68 |
Where Michigan sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 22nd of 51
$347
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.