How much rates vary
Facilitymedian $12,589 · 10th to 90th $501 to $19,498Professionalmedian $4,677 · 10th to 90th $3,631 to $5,248
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 $4,677.35 Median $4,677.35 Typical High $6,918.31 | Facility | None | $4,677.35 | $4,677.35 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $4,677.35 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,677.35 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,344.23 Median $2,398.83 Typical High $2,398.83 | Professional | 52 · Reduced service | $2,344.23 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $933.25 Median $954.99 Typical High $954.99 | Professional | 53 · Discontinued | $933.25 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,467.37 Median $3,548.13 Typical High $3,548.13 | Professional | 54 · Surgery only | $3,467.37 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $691.83 Median $707.95 Typical High $707.95 | Professional | 55 · Aftercare only | $691.83 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $467.74 Median $478.63 Typical High $478.63 | Professional | 56 · Pre-op care only | $467.74 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,235.94 Median $3,311.31 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $3,235.94 | $3,311.31 | $3,311.31 |
BCBS Michigan Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $21,877.62 | Facility | None | $12,589.25 | $12,589.25 | $21,877.62 |
BCBS Michigan Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $4,073.80 Typical High $14,125.38 | Professional | None | $3,890.45 | $4,073.80 | $14,125.38 |
Health Alliance Plan Setting Facility Modifier None Typical Low $4,570.88 Median $9,549.93 Typical High $10,715.19 | Facility | None | $4,570.88 | $9,549.93 | $10,715.19 |
Health Alliance Plan Setting Professional Modifier None Typical Low $3,630.78 Median $4,570.88 Typical High $4,897.79 | Professional | None | $3,630.78 | $4,570.88 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | 52 · Reduced service | $2,290.87 | $2,290.87 | $2,290.87 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 53 · Discontinued | $912.01 | $912.01 | $912.01 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | 54 · Surgery only | $3,467.37 | $3,467.37 | $3,467.37 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 55 · Aftercare only | $691.83 | $691.83 | $691.83 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 56 · Pre-op care only | $457.09 | $457.09 | $457.09 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $3,235.94 | $3,235.94 | $3,235.94 |
Priority Health Setting Professional Modifier None Typical Low $3,890.45 Median $4,073.80 Typical High $12,589.25 | Professional | None | $3,890.45 | $4,073.80 | $12,589.25 |
United Setting Facility Modifier None Typical Low $426.58 Median $549.54 Typical High $3,311.31 | Facility | None | $426.58 | $549.54 | $3,311.31 |
United Setting Professional Modifier None Typical Low $3,981.07 Median $4,897.79 Typical High $5,370.32 | Professional | None | $3,981.07 | $4,897.79 | $5,370.32 |
Where Michigan sits
The same service costs 27.5 times more in Alaska than in Texas. 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· 23rd of 51
$4,677
AK $14,454TX $525
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.