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 $93.33 Median $204.17 Typical High $4,897.79 | Facility | None | $93.33 | $204.17 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $204.17 | Professional | None | $93.33 | $114.82 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $72.44 Typical High $102.33 | Professional | 52 · Reduced service | $46.77 | $72.44 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $29.51 Typical High $40.74 | Professional | 53 · Discontinued | $18.62 | $29.51 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $109.65 Typical High $154.88 | Professional | 54 · Surgery only | $70.79 | $109.65 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $21.88 Typical High $30.90 | Professional | 55 · Aftercare only | $14.13 | $21.88 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $14.79 Typical High $20.42 | Professional | 56 · Pre-op care only | $9.33 | $14.79 | $20.42 |
BCBS Michigan Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $138.04 | Facility | None | $79.43 | $79.43 | $138.04 |
BCBS Michigan Setting Professional Modifier None Typical Low $16.60 Median $61.66 Typical High $97.72 | Professional | None | $16.60 | $61.66 | $97.72 |
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 $66.07 Median $112.20 Typical High $223.87 | Professional | None | $66.07 | $112.20 | $223.87 |
Health Alliance Plan Setting Facility Modifier None Typical Low $87.10 Median $275.42 Typical High $4,897.79 | Facility | None | $87.10 | $275.42 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $204.17 | Professional | None | $91.20 | $144.54 | $204.17 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $46.77 Typical High $100.00 | Professional | 52 · Reduced service | $45.71 | $46.77 | $100.00 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $40.74 | Professional | 53 · Discontinued | $18.20 | $18.62 | $40.74 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $69.18 Typical High $151.36 | Professional | 54 · Surgery only | $69.18 | $69.18 | $151.36 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $30.20 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $30.20 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.33 Typical High $20.42 | Professional | 56 · Pre-op care only | $9.12 | $9.33 | $20.42 |
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 $66.07 Median $102.33 Typical High $218.78 | Professional | None | $66.07 | $102.33 | $218.78 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,202.26 | Facility | None | $91.20 | $177.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $177.83 | Professional | None | $87.10 | $125.89 | $177.83 |
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
$110
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.