How much rates vary
Facilitymedian $15,849 · 10th to 90th $501 to $25,119Professionalmedian $5,495 · 10th to 90th $3,890 to $6,026
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 $4,897.79 Median $5,623.41 Typical High $6,918.31 | Facility | None | $4,897.79 | $5,623.41 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,623.41 | $5,623.41 | $5,623.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,754.23 Median $2,818.38 Typical High $2,818.38 | Professional | 52 · Reduced service | $2,754.23 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | 53 · Discontinued | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4,168.69 Median $4,265.80 Typical High $4,265.80 | Professional | 54 · Surgery only | $4,168.69 | $4,265.80 | $4,265.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $831.76 Median $851.14 Typical High $851.14 | Professional | 55 · Aftercare only | $831.76 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 56 · Pre-op care only | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,890.45 Median $3,981.07 Typical High $3,981.07 | Professional | 78 · Unplanned return to OR | $3,890.45 | $3,981.07 | $3,981.07 |
BCBS Michigan Setting Facility Modifier None Typical Low $15,848.93 Median $16,218.10 Typical High $28,183.83 | Facility | None | $15,848.93 | $16,218.10 | $28,183.83 |
BCBS Michigan Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | None | $6,456.54 | $6,456.54 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $4,897.79 Typical High $8,709.64 | Professional | None | $3,630.78 | $4,897.79 | $8,709.64 |
Health Alliance Plan Setting Facility Modifier None Typical Low $4,897.79 Median $10,232.93 Typical High $11,481.54 | Facility | None | $4,897.79 | $10,232.93 | $11,481.54 |
Health Alliance Plan Setting Professional Modifier None Typical Low $3,890.45 Median $5,128.61 Typical High $5,495.41 | Professional | None | $3,890.45 | $5,128.61 | $5,495.41 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | 52 · Reduced service | $2,754.23 | $2,754.23 | $2,754.23 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 53 · Discontinued | $1,096.48 | $1,096.48 | $1,096.48 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | 54 · Surgery only | $4,168.69 | $4,168.69 | $4,168.69 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 55 · Aftercare only | $831.76 | $831.76 | $831.76 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 56 · Pre-op care only | $549.54 | $549.54 | $549.54 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $3,890.45 | $3,890.45 | $3,890.45 |
Priority Health Setting Professional Modifier None Typical Low $3,548.13 Median $4,786.30 Typical High $7,585.78 | Professional | None | $3,548.13 | $4,786.30 | $7,585.78 |
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 $4,786.30 Median $5,623.41 Typical High $6,606.93 | Professional | None | $4,786.30 | $5,623.41 | $6,606.93 |
Where Michigan sits
The same service costs 20.9 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· 22nd of 51
$5,495
AK $14,125TX $676
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.