How much rates vary
Facilitymedian $3,388 · 10th to 90th $589 to $5,888Professionalmedian $513 · 10th to 90th $324 to $1,175
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 $446.68 Median $1,071.52 Typical High $4,897.79 | Facility | None | $446.68 | $1,071.52 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $758.58 Typical High $1,071.52 | Professional | None | $446.68 | $758.58 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $407.38 Typical High $537.03 | Professional | 52 · Reduced service | $223.87 | $407.38 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $162.18 Typical High $218.78 | Professional | 53 · Discontinued | $91.20 | $162.18 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $616.60 Typical High $812.83 | Professional | 54 · Surgery only | $338.84 | $616.60 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $123.03 Typical High $162.18 | Professional | 55 · Aftercare only | $67.61 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $81.28 Typical High $107.15 | Professional | 56 · Pre-op care only | $44.67 | $81.28 | $107.15 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,388.44 Median $3,467.37 Typical High $6,025.60 | Facility | None | $3,388.44 | $3,467.37 | $6,025.60 |
BCBS Michigan Setting Professional Modifier None Typical Low $79.43 Median $467.74 Typical High $501.19 | Professional | None | $79.43 | $467.74 | $501.19 |
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 $316.23 Median $616.60 Typical High $1,258.93 | Professional | None | $316.23 | $616.60 | $1,258.93 |
Health Alliance Plan Setting Facility Modifier None Typical Low $467.74 Median $2,290.87 Typical High $7,413.10 | Facility | None | $467.74 | $2,290.87 | $7,413.10 |
Health Alliance Plan Setting Professional Modifier None Typical Low $436.52 Median $977.24 Typical High $1,202.26 | Professional | None | $436.52 | $977.24 | $1,202.26 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $223.87 Typical High $549.54 | Professional | 52 · Reduced service | $218.78 | $223.87 | $549.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $89.13 Typical High $218.78 | Professional | 53 · Discontinued | $87.10 | $89.13 | $218.78 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $831.76 | Professional | 54 · Surgery only | $331.13 | $331.13 | $831.76 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $67.61 Typical High $165.96 | Professional | 55 · Aftercare only | $66.07 | $67.61 | $165.96 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $44.67 Typical High $109.65 | Professional | 56 · Pre-op care only | $43.65 | $44.67 | $109.65 |
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 $316.23 Median $616.60 Typical High $1,148.15 | Professional | None | $316.23 | $616.60 | $1,148.15 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $5,248.07 | Facility | None | $602.56 | $1,230.27 | $5,248.07 |
United Setting Professional Modifier None Typical Low $426.58 Median $776.25 Typical High $1,348.96 | Professional | None | $426.58 | $776.25 | $1,348.96 |
Where Michigan sits
The same service costs 3.7 times more in Wisconsin than in North Dakota. 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 $6,561ND $1,783
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.