How much rates vary
Facilitymedian $214 · 10th to 90th $138 to $1,862Professionalmedian $7,586 · 10th to 90th $3,162 to $7,586
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 $4,897.79 Median $7,585.78 Typical High $7,585.78 | Facility | None | $4,897.79 | $7,585.78 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Professional | None | $7,585.78 | $7,585.78 | $7,585.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | 52 · Reduced service | $3,801.89 | $3,801.89 | $3,801.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 53 · Discontinued | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | 54 · Surgery only | $5,623.41 | $5,623.41 | $5,623.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | 55 · Aftercare only | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 56 · Pre-op care only | $758.58 | $758.58 | $758.58 |
BCBS Michigan Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $239.88 | Facility | None | $138.04 | $138.04 | $239.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3,162.28 Median $4,897.79 Typical High $6,918.31 | Facility | None | $3,162.28 | $4,897.79 | $6,918.31 |
Health Alliance Plan Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $1,584.89 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 53 · Discontinued | $630.96 | $630.96 | $630.96 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | 54 · Surgery only | $2,344.23 | $2,344.23 | $2,344.23 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 55 · Aftercare only | $467.74 | $467.74 | $467.74 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 56 · Pre-op care only | $316.23 | $316.23 | $316.23 |
United Setting Facility Modifier None Typical Low $426.58 Median $549.54 Typical High $3,311.31 | Facility | None | $426.58 | $549.54 | $3,311.31 |
Where Michigan sits
The same service costs 257.0 times more in Wisconsin than in Hawaii. 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· 30th of 51
$3,162
WI $7,586HI $29.51
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.