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 $109.65 Median $1,071.52 Typical High $4,897.79 | Facility | None | $109.65 | $1,071.52 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $794.33 Typical High $1,071.52 | Professional | None | $109.65 | $794.33 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $398.11 Typical High $537.03 | Professional | 52 · Reduced service | $54.95 | $398.11 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $158.49 Typical High $213.80 | Professional | 53 · Discontinued | $21.88 | $158.49 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $602.56 Typical High $794.33 | Professional | 54 · Surgery only | $81.28 | $602.56 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $120.23 Typical High $162.18 | Professional | 55 · Aftercare only | $16.22 | $120.23 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $79.43 Typical High $107.15 | Professional | 56 · Pre-op care only | $10.96 | $79.43 | $107.15 |
BCBS Michigan Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,122.02 | Facility | None | $645.65 | $645.65 | $1,122.02 |
BCBS Michigan Setting Professional Modifier None Typical Low $74.13 Median $123.03 Typical High $123.03 | Professional | None | $74.13 | $123.03 | $123.03 |
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 $67.61 Median $218.78 Typical High $1,445.44 | Professional | None | $67.61 | $218.78 | $1,445.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $630.96 Median $2,041.74 Typical High $4,897.79 | Facility | None | $630.96 | $2,041.74 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $109.65 Median $1,148.15 Typical High $1,258.93 | Professional | None | $109.65 | $1,148.15 | $1,258.93 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $64.57 Typical High $588.84 | Professional | 52 · Reduced service | $54.95 | $64.57 | $588.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.70 Typical High $234.42 | Professional | 53 · Discontinued | $21.88 | $25.70 | $234.42 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $97.72 Typical High $870.96 | Professional | 54 · Surgery only | $81.28 | $97.72 | $870.96 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $19.50 Typical High $173.78 | Professional | 55 · Aftercare only | $16.22 | $19.50 | $173.78 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.88 Typical High $117.49 | Professional | 56 · Pre-op care only | $10.96 | $12.88 | $117.49 |
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 $67.61 Median $281.84 Typical High $1,230.27 | Professional | None | $67.61 | $281.84 | $1,230.27 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,162.28 | Facility | None | $426.58 | $602.56 | $3,162.28 |
United Setting Professional Modifier None Typical Low $107.15 Median $537.03 Typical High $1,318.26 | Professional | None | $107.15 | $537.03 | $1,318.26 |
Where Michigan sits
The same service costs 14.1 times more in Washington than in Kentucky. 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· 48th of 51
$138
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.