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 $83.18 Median $199.53 Typical High $4,897.79 | Facility | None | $83.18 | $199.53 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $199.53 | Professional | None | $83.18 | $123.03 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $47.86 Typical High $100.00 | Professional | 52 · Reduced service | $41.69 | $47.86 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.05 Typical High $39.81 | Professional | 53 · Discontinued | $16.60 | $19.05 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $89.13 Typical High $151.36 | Professional | 54 · Surgery only | $61.66 | $89.13 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $14.45 Typical High $30.20 | Professional | 55 · Aftercare only | $12.30 | $14.45 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $9.55 Typical High $19.95 | Professional | 56 · Pre-op care only | $8.32 | $9.55 | $19.95 |
BCBS Michigan Setting Facility Modifier None Typical Low $120.23 Median $123.03 Typical High $213.80 | Facility | None | $120.23 | $123.03 | $213.80 |
BCBS Michigan Setting Professional Modifier None Typical Low $15.49 Median $95.50 Typical High $95.50 | Professional | None | $15.49 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $131.83 Typical High $257.04 | Professional | None | $64.57 | $131.83 | $257.04 |
Health Alliance Plan Setting Facility Modifier None Typical Low $123.03 Median $316.23 Typical High $4,897.79 | Facility | None | $123.03 | $316.23 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $81.28 Median $162.18 Typical High $208.93 | Professional | None | $81.28 | $162.18 | $208.93 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $47.86 Typical High $104.71 | Professional | 52 · Reduced service | $40.74 | $47.86 | $104.71 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.05 Typical High $41.69 | Professional | 53 · Discontinued | $16.60 | $19.05 | $41.69 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $72.44 Typical High $158.49 | Professional | 54 · Surgery only | $61.66 | $72.44 | $158.49 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $14.45 Typical High $31.62 | Professional | 55 · Aftercare only | $12.30 | $14.45 | $31.62 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $9.55 Typical High $20.89 | Professional | 56 · Pre-op care only | $8.13 | $9.55 | $20.89 |
Priority Health Setting Professional Modifier None Typical Low $60.26 Median $131.83 Typical High $234.42 | Professional | None | $60.26 | $131.83 | $234.42 |
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 $79.43 Median $131.83 Typical High $190.55 | Professional | None | $79.43 | $131.83 | $190.55 |
Where Michigan sits
The same service costs 3.7 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· 43rd of 51
$123
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.