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 $102.33 Median $263.03 Typical High $4,897.79 | Facility | None | $102.33 | $263.03 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $154.88 Typical High $263.03 | Professional | None | $102.33 | $154.88 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $81.28 Typical High $131.83 | Professional | 52 · Reduced service | $51.29 | $81.28 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $32.36 Typical High $52.48 | Professional | 53 · Discontinued | $20.42 | $32.36 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $120.23 Typical High $199.53 | Professional | 54 · Surgery only | $77.62 | $120.23 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $18.20 Typical High $39.81 | Professional | 55 · Aftercare only | $15.49 | $18.20 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $12.02 Typical High $26.30 | Professional | 56 · Pre-op care only | $10.23 | $12.02 | $26.30 |
BCBS Michigan Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $1,174.90 | Facility | None | $676.08 | $676.08 | $1,174.90 |
BCBS Michigan Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $114.82 | Professional | None | $72.44 | $114.82 | $114.82 |
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 $81.28 Median $169.82 Typical High $331.13 | Professional | None | $81.28 | $169.82 | $331.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $4,897.79 | Facility | None | $275.42 | $630.96 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $102.33 Median $223.87 Typical High $275.42 | Professional | None | $102.33 | $223.87 | $275.42 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $60.26 Typical High $138.04 | Professional | 52 · Reduced service | $51.29 | $60.26 | $138.04 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $24.55 Typical High $54.95 | Professional | 53 · Discontinued | $20.42 | $24.55 | $54.95 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $91.20 Typical High $208.93 | Professional | 54 · Surgery only | $75.86 | $91.20 | $208.93 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $18.20 Typical High $41.69 | Professional | 55 · Aftercare only | $15.14 | $18.20 | $41.69 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $12.02 Typical High $27.54 | Professional | 56 · Pre-op care only | $10.23 | $12.02 | $27.54 |
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 $77.62 Median $169.82 Typical High $295.12 | Professional | None | $77.62 | $169.82 | $295.12 |
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 $100.00 Median $173.78 Typical High $257.04 | Professional | None | $100.00 | $173.78 | $257.04 |
Where Michigan sits
The same service costs 4.1 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· 48th of 51
$145
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.