How much rates vary
Facilitymedian $219 · 10th to 90th $135 to $708Professionalmedian $204 · 10th to 90th $129 to $316
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 $177.83 Median $302.00 Typical High $4,897.79 | Facility | None | $177.83 | $302.00 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $218.78 Typical High $302.00 | Professional | None | $173.78 | $218.78 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $109.65 Typical High $147.91 | Professional | 52 · Reduced service | $87.10 | $109.65 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $43.65 Typical High $60.26 | Professional | 53 · Discontinued | $34.67 | $43.65 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $162.18 Typical High $223.87 | Professional | 54 · Surgery only | $131.83 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $32.36 Typical High $44.67 | Professional | 55 · Aftercare only | $26.30 | $32.36 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $21.88 Typical High $30.20 | Professional | 56 · Pre-op care only | $17.38 | $21.88 | $30.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $151.36 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $123.03 | $151.36 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
BCBS Michigan Setting Facility Modifier None Typical Low $213.80 Median $218.78 Typical High $371.54 | Facility | None | $213.80 | $218.78 | $371.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $34.67 Median $194.98 Typical High $204.17 | Professional | None | $34.67 | $194.98 | $204.17 |
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 $128.82 Median $229.09 Typical High $407.38 | Professional | None | $128.82 | $229.09 | $407.38 |
Health Alliance Plan Setting Facility Modifier None Typical Low $154.88 Median $588.84 Typical High $4,897.79 | Facility | None | $154.88 | $588.84 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $173.78 Median $295.12 Typical High $323.59 | Professional | None | $173.78 | $295.12 | $323.59 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $102.33 Typical High $147.91 | Professional | 52 · Reduced service | $87.10 | $102.33 | $147.91 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $40.74 Typical High $60.26 | Professional | 53 · Discontinued | $34.67 | $40.74 | $60.26 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $151.36 Typical High $223.87 | Professional | 54 · Surgery only | $131.83 | $151.36 | $223.87 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $30.20 Typical High $44.67 | Professional | 55 · Aftercare only | $26.30 | $30.20 | $44.67 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $20.42 Typical High $29.51 | Professional | 56 · Pre-op care only | $17.38 | $20.42 | $29.51 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $141.25 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $123.03 | $141.25 | $208.93 |
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 $123.03 Median $204.17 Typical High $354.81 | Professional | None | $123.03 | $204.17 | $354.81 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,202.26 | Facility | None | $91.20 | $177.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $169.82 Median $218.78 Typical High $346.74 | Professional | None | $169.82 | $218.78 | $346.74 |
Where Michigan sits
The same service costs 3.5 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· 38th of 51
$204
AK $562DC $162
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.