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 $104.71 Median $173.78 Typical High $4,897.79 | Facility | None | $104.71 | $173.78 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $131.83 Typical High $173.78 | Professional | None | $104.71 | $131.83 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $63.10 Typical High $87.10 | Professional | 52 · Reduced service | $52.48 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $25.70 Typical High $34.67 | Professional | 53 · Discontinued | $20.89 | $25.70 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $95.50 Typical High $131.83 | Professional | 54 · Surgery only | $77.62 | $95.50 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $19.05 Typical High $26.30 | Professional | 55 · Aftercare only | $15.49 | $19.05 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $12.59 Typical High $17.38 | Professional | 56 · Pre-op care only | $10.47 | $12.59 | $17.38 |
BCBS Michigan Setting Facility Modifier None Typical Low $549.54 Median $562.34 Typical High $954.99 | Facility | None | $549.54 | $562.34 | $954.99 |
BCBS Michigan Setting Professional Modifier None Typical Low $70.79 Median $112.20 Typical High $120.23 | Professional | None | $70.79 | $112.20 | $120.23 |
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 $74.13 Median $123.03 Typical High $229.09 | Professional | None | $74.13 | $123.03 | $229.09 |
Health Alliance Plan Setting Facility Modifier None Typical Low $131.83 Median $354.81 Typical High $2,884.03 | Facility | None | $131.83 | $354.81 | $2,884.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $177.83 | Professional | None | $91.20 | $120.23 | $177.83 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $51.29 Typical High $85.11 | Professional | 52 · Reduced service | $50.12 | $51.29 | $85.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $33.88 | Professional | 53 · Discontinued | $20.42 | $20.42 | $33.88 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $77.62 Typical High $128.82 | Professional | 54 · Surgery only | $75.86 | $77.62 | $128.82 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.49 Typical High $25.70 | Professional | 55 · Aftercare only | $15.14 | $15.49 | $25.70 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.23 Typical High $16.98 | Professional | 56 · Pre-op care only | $10.23 | $10.23 | $16.98 |
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 $74.13 Median $109.65 Typical High $199.53 | Professional | None | $74.13 | $109.65 | $199.53 |
United Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $1,995.26 | Facility | None | $288.40 | $426.58 | $1,995.26 |
United Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $223.87 | Professional | None | $95.50 | $138.04 | $223.87 |
Where Michigan sits
The same service costs 3.6 times more in Wisconsin than in Kentucky. 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· 49th of 51
$126
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.