How much rates vary
Facilitymedian $631 · 10th to 90th $324 to $1,622Professionalmedian $62 · 10th to 90th $43 to $200
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 $51.29 Median $190.55 Typical High $4,897.79 | Facility | None | $51.29 | $190.55 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $131.83 Typical High $190.55 | Professional | None | $50.12 | $131.83 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $69.18 Typical High $95.50 | Professional | 52 · Reduced service | $25.12 | $69.18 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $27.54 Typical High $38.02 | Professional | 53 · Discontinued | $10.00 | $27.54 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $100.00 Typical High $141.25 | Professional | 54 · Surgery only | $38.02 | $100.00 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $20.89 Typical High $28.18 | Professional | 55 · Aftercare only | $7.59 | $20.89 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $13.80 Typical High $19.05 | Professional | 56 · Pre-op care only | $5.01 | $13.80 | $19.05 |
BCBS Michigan Setting Facility Modifier None Typical Low $630.96 Median $645.65 Typical High $1,122.02 | Facility | None | $630.96 | $645.65 | $1,122.02 |
BCBS Michigan Setting Professional Modifier None Typical Low $12.30 Median $58.88 Typical High $58.88 | Professional | None | $12.30 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $95.50 Typical High $245.47 | Professional | None | $37.15 | $95.50 | $245.47 |
Health Alliance Plan Setting Facility Modifier None Typical Low $158.49 Median $426.58 Typical High $4,897.79 | Facility | None | $158.49 | $426.58 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $51.29 Median $186.21 Typical High $208.93 | Professional | None | $51.29 | $186.21 | $208.93 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $30.20 Typical High $100.00 | Professional | 52 · Reduced service | $25.70 | $30.20 | $100.00 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $12.02 Typical High $39.81 | Professional | 53 · Discontinued | $10.23 | $12.02 | $39.81 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $45.71 Typical High $151.36 | Professional | 54 · Surgery only | $38.02 | $45.71 | $151.36 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $14.79 Typical High $30.20 | Professional | 55 · Aftercare only | $7.59 | $14.79 | $30.20 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $9.77 Typical High $19.95 | Professional | 56 · Pre-op care only | $5.13 | $9.77 | $19.95 |
Priority Health Setting Professional Modifier None Typical Low $33.88 Median $114.82 Typical High $208.93 | Professional | None | $33.88 | $114.82 | $208.93 |
United Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $2,089.30 | Facility | None | $288.40 | $426.58 | $2,089.30 |
United Setting Professional Modifier None Typical Low $50.12 Median $102.33 Typical High $218.78 | Professional | None | $50.12 | $102.33 | $218.78 |
Where Michigan sits
The same service costs 4.6 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
$61.66
WI $240DC $52.48
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.