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 $269.15 Median $489.78 Typical High $4,897.79 | Facility | None | $269.15 | $489.78 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $489.78 | Professional | None | $263.03 | $371.54 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $186.21 Typical High $245.47 | Professional | 52 · Reduced service | $131.83 | $186.21 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $74.13 Typical High $97.72 | Professional | 53 · Discontinued | $52.48 | $74.13 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $275.42 Typical High $371.54 | Professional | 54 · Surgery only | $199.53 | $275.42 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $54.95 Typical High $74.13 | Professional | 55 · Aftercare only | $39.81 | $54.95 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $37.15 Typical High $48.98 | Professional | 56 · Pre-op care only | $26.30 | $37.15 | $48.98 |
BCBS Michigan Setting Facility Modifier None Typical Low $794.33 Median $812.83 Typical High $1,412.54 | Facility | None | $794.33 | $812.83 | $1,412.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $48.98 Median $177.83 Typical High $288.40 | Professional | None | $48.98 | $177.83 | $288.40 |
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 $213.80 Median $380.19 Typical High $676.08 | Professional | None | $213.80 | $380.19 | $676.08 |
Health Alliance Plan Setting Facility Modifier None Typical Low $501.19 Median $1,148.15 Typical High $4,897.79 | Facility | None | $501.19 | $1,148.15 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $263.03 Median $501.19 Typical High $602.56 | Professional | None | $263.03 | $501.19 | $602.56 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $158.49 Typical High $251.19 | Professional | 52 · Reduced service | $131.83 | $158.49 | $251.19 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $64.57 Typical High $100.00 | Professional | 53 · Discontinued | $53.70 | $64.57 | $100.00 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $239.88 Typical High $380.19 | Professional | 54 · Surgery only | $199.53 | $239.88 | $380.19 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $48.98 Typical High $75.86 | Professional | 55 · Aftercare only | $39.81 | $48.98 | $75.86 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $32.36 Typical High $50.12 | Professional | 56 · Pre-op care only | $26.30 | $32.36 | $50.12 |
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 $194.98 Median $331.13 Typical High $616.60 | Professional | None | $194.98 | $331.13 | $616.60 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $2,951.21 | Facility | None | $426.58 | $602.56 | $2,951.21 |
United Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $676.08 | Professional | None | $263.03 | $371.54 | $676.08 |
Where Michigan sits
The same service costs 3.8 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· 44th 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.