How much rates vary
Facilitymedian $1,778 · 10th to 90th $794 to $4,571Professionalmedian $447 · 10th to 90th $295 to $575
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 $426.58 Median $4,073.80 Typical High $5,754.40 | Facility | None | $426.58 | $4,073.80 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | None | $416.87 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $213.80 | Professional | 52 · Reduced service | $208.93 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | 53 · Discontinued | $83.18 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $64.57 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $42.66 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $42.66 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,778.28 Median $1,819.70 Typical High $3,090.30 | Facility | None | $1,778.28 | $1,819.70 | $3,090.30 |
BCBS Michigan Setting Professional Modifier None Typical Low $107.15 Median $467.74 Typical High $467.74 | Professional | None | $107.15 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $436.52 Typical High $724.44 | Professional | None | $269.15 | $436.52 | $724.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $954.99 Median $1,659.59 Typical High $4,897.79 | Facility | None | $954.99 | $1,659.59 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $537.03 | Professional | None | $380.19 | $426.58 | $537.03 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $316.23 | $316.23 | $316.23 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $64.57 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
Priority Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Priority Health Setting Professional Modifier None Typical Low $245.47 Median $407.38 Typical High $707.95 | Professional | None | $245.47 | $407.38 | $707.95 |
United Setting Facility Modifier None Typical Low $660.69 Median $1,548.82 Typical High $7,762.47 | Facility | None | $660.69 | $1,548.82 | $7,762.47 |
United Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $630.96 | Professional | None | $380.19 | $549.54 | $630.96 |
Where Michigan sits
The same service costs 7.2 times more in Wisconsin than in Montana. 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.
Physician feeFacility fee
WI $7,422MT $1,038
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.