How much rates vary
Facilitymedian $245 · 10th to 90th $126 to $955Professionalmedian $141 · 10th to 90th $79 to $468
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 $112.20 Median $389.05 Typical High $4,897.79 | Facility | None | $112.20 | $389.05 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $295.12 Typical High $389.05 | Professional | None | $112.20 | $295.12 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $147.91 Typical High $194.98 | Professional | 52 · Reduced service | $56.23 | $147.91 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $58.88 Typical High $79.43 | Professional | 53 · Discontinued | $22.39 | $58.88 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $223.87 Typical High $295.12 | Professional | 54 · Surgery only | $85.11 | $223.87 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $44.67 Typical High $58.88 | Professional | 55 · Aftercare only | $16.98 | $44.67 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $29.51 Typical High $38.90 | Professional | 56 · Pre-op care only | $11.22 | $29.51 | $38.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $218.78 Median $275.42 Typical High $676.08 | Facility | None | $218.78 | $275.42 | $676.08 |
BCBS Michigan Setting Professional Modifier None Typical Low $25.70 Median $79.43 Typical High $128.82 | Professional | None | $25.70 | $79.43 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $239.88 Typical High $537.03 | Professional | None | $85.11 | $239.88 | $537.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $128.82 Median $812.83 Typical High $4,897.79 | Facility | None | $128.82 | $812.83 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $112.20 Median $380.19 Typical High $436.52 | Professional | None | $112.20 | $380.19 | $436.52 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $64.57 Typical High $208.93 | Professional | 52 · Reduced service | $56.23 | $64.57 | $208.93 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.70 Typical High $83.18 | Professional | 53 · Discontinued | $22.39 | $25.70 | $83.18 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $97.72 Typical High $309.03 | Professional | 54 · Surgery only | $83.18 | $97.72 | $309.03 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $19.50 Typical High $61.66 | Professional | 55 · Aftercare only | $16.60 | $19.50 | $61.66 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $27.54 Typical High $41.69 | Professional | 56 · Pre-op care only | $11.22 | $27.54 | $41.69 |
Priority Health Setting Professional Modifier None Typical Low $75.86 Median $234.42 Typical High $446.68 | Professional | None | $75.86 | $234.42 | $446.68 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,202.26 | Facility | None | $91.20 | $177.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $104.71 Median $281.84 Typical High $512.86 | Professional | None | $104.71 | $281.84 | $512.86 |
Where Michigan sits
The same service costs 4.8 times more in Wisconsin 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
$145
WI $479DC $100
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.