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 $204.17 Median $501.19 Typical High $4,897.79 | Facility | None | $204.17 | $501.19 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $363.08 Typical High $501.19 | Professional | None | $199.53 | $363.08 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $181.97 Typical High $251.19 | Professional | 52 · Reduced service | $100.00 | $181.97 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $72.44 Typical High $100.00 | Professional | 53 · Discontinued | $39.81 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $269.15 Typical High $380.19 | Professional | 54 · Surgery only | $151.36 | $269.15 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $53.70 Typical High $75.86 | Professional | 55 · Aftercare only | $30.20 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $36.31 Typical High $50.12 | Professional | 56 · Pre-op care only | $19.95 | $36.31 | $50.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,698.24 | Facility | None | $977.24 | $977.24 | $1,698.24 |
BCBS Michigan Setting Professional Modifier None Typical Low $43.65 Median $208.93 Typical High $218.78 | Professional | None | $43.65 | $208.93 | $218.78 |
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 $162.18 Median $331.13 Typical High $676.08 | Professional | None | $162.18 | $331.13 | $676.08 |
Health Alliance Plan Setting Facility Modifier None Typical Low $524.81 Median $954.99 Typical High $4,897.79 | Facility | None | $524.81 | $954.99 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $199.53 Median $501.19 Typical High $549.54 | Professional | None | $199.53 | $501.19 | $549.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $120.23 Typical High $263.03 | Professional | 52 · Reduced service | $100.00 | $120.23 | $263.03 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $48.98 Typical High $104.71 | Professional | 53 · Discontinued | $39.81 | $48.98 | $104.71 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $181.97 Typical High $389.05 | Professional | 54 · Surgery only | $151.36 | $181.97 | $389.05 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $36.31 Typical High $77.62 | Professional | 55 · Aftercare only | $30.20 | $36.31 | $77.62 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $23.99 Typical High $52.48 | Professional | 56 · Pre-op care only | $19.95 | $23.99 | $52.48 |
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 $151.36 Median $323.59 Typical High $588.84 | Professional | None | $151.36 | $323.59 | $588.84 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,235.94 | Facility | None | $426.58 | $602.56 | $3,235.94 |
United Setting Professional Modifier None Typical Low $199.53 Median $346.74 Typical High $588.84 | Professional | None | $199.53 | $346.74 | $588.84 |
Where Michigan sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 49th of 51
$257
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.