How much rates vary
Facilitymedian $1,862 · 10th to 90th $589 to $4,074Professionalmedian $263 · 10th to 90th $191 to $309
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 $245.47 Median $281.84 Typical High $4,897.79 | Facility | None | $245.47 | $281.84 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $281.84 | Professional | None | $229.09 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $123.03 Typical High $141.25 | Professional | 52 · Reduced service | $114.82 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $48.98 Typical High $56.23 | Professional | 53 · Discontinued | $45.71 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $186.21 Typical High $208.93 | Professional | 54 · Surgery only | $169.82 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $37.15 Typical High $42.66 | Professional | 55 · Aftercare only | $33.88 | $37.15 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $24.55 Typical High $28.18 | Professional | 56 · Pre-op care only | $22.91 | $24.55 | $28.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $173.78 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $158.49 | $173.78 | $194.98 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $3,311.31 | Facility | None | $1,862.09 | $1,905.46 | $3,311.31 |
BCBS Michigan Setting Professional Modifier None Typical Low $154.88 Median $263.03 Typical High $263.03 | Professional | None | $154.88 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $239.88 Typical High $354.81 | Professional | None | $154.88 | $239.88 | $354.81 |
Health Alliance Plan Setting Facility Modifier None Typical Low $269.15 Median $1,174.90 Typical High $6,918.31 | Facility | None | $269.15 | $1,174.90 | $6,918.31 |
Health Alliance Plan Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $309.03 | Professional | None | $218.78 | $257.04 | $309.03 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $134.90 | Professional | 52 · Reduced service | $117.49 | $117.49 | $134.90 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $53.70 | Professional | 53 · Discontinued | $46.77 | $46.77 | $53.70 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $177.83 Typical High $199.53 | Professional | 54 · Surgery only | $177.83 | $177.83 | $199.53 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $39.81 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $39.81 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $26.92 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $26.92 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $165.96 | $165.96 | $186.21 |
Priority Health Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Priority Health Setting Professional Modifier None Typical Low $147.91 Median $223.87 Typical High $316.23 | Professional | None | $147.91 | $223.87 | $316.23 |
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 $223.87 Median $263.03 Typical High $331.13 | Professional | None | $223.87 | $263.03 | $331.13 |
Where Michigan sits
The same service costs 5.9 times more in Oklahoma than in Utah. 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· 34th of 51
$263
OK $1,175UT $200
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.