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 $77.62 Median $186.21 Typical High $4,897.79 | Facility | None | $77.62 | $186.21 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $141.25 Typical High $186.21 | Professional | None | $77.62 | $141.25 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $70.79 Typical High $91.20 | Professional | 52 · Reduced service | $38.02 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $28.18 Typical High $37.15 | Professional | 53 · Discontinued | $15.49 | $28.18 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $104.71 Typical High $138.04 | Professional | 54 · Surgery only | $57.54 | $104.71 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $20.89 Typical High $27.54 | Professional | 55 · Aftercare only | $11.48 | $20.89 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $14.13 Typical High $18.62 | Professional | 56 · Pre-op care only | $7.76 | $14.13 | $18.62 |
BCBS Michigan Setting Facility Modifier None Typical Low $645.65 Median $870.96 Typical High $1,995.26 | Facility | None | $645.65 | $870.96 | $1,995.26 |
BCBS Michigan Setting Professional Modifier None Typical Low $13.80 Median $75.86 Typical High $245.47 | Professional | None | $13.80 | $75.86 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $125.89 Typical High $323.59 | Professional | None | $60.26 | $125.89 | $323.59 |
Health Alliance Plan Setting Facility Modifier None Typical Low $144.54 Median $398.11 Typical High $4,897.79 | Facility | None | $144.54 | $398.11 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $79.43 Median $158.49 Typical High $194.98 | Professional | None | $79.43 | $158.49 | $194.98 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $61.66 Typical High $97.72 | Professional | 52 · Reduced service | $39.81 | $61.66 | $97.72 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $24.55 Typical High $38.90 | Professional | 53 · Discontinued | $15.85 | $24.55 | $38.90 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $91.20 Typical High $144.54 | Professional | 54 · Surgery only | $58.88 | $91.20 | $144.54 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $18.20 Typical High $28.84 | Professional | 55 · Aftercare only | $11.75 | $18.20 | $28.84 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $12.30 Typical High $19.50 | Professional | 56 · Pre-op care only | $7.94 | $12.30 | $19.50 |
Priority Health Setting Professional Modifier None Typical Low $58.88 Median $120.23 Typical High $239.88 | Professional | None | $58.88 | $120.23 | $239.88 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,288.25 Typical High $2,089.30 | Facility | None | $302.00 | $1,288.25 | $2,089.30 |
United Setting Professional Modifier None Typical Low $79.43 Median $147.91 Typical High $218.78 | Professional | None | $79.43 | $147.91 | $218.78 |
Where Michigan sits
The same service costs 3.7 times more in Wisconsin than in Maryland. 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· 46th of 51
$120
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.