How much rates vary
Facilitymedian $2,291 · 10th to 90th $933 to $5,495Professionalmedian $1,047 · 10th to 90th $339 to $2,692
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 $501.19 Median $1,659.59 Typical High $4,897.79 | Facility | None | $501.19 | $1,659.59 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $1,288.25 Typical High $1,659.59 | Professional | None | $501.19 | $1,288.25 | $1,659.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $645.65 Typical High $831.76 | Professional | 52 · Reduced service | $251.19 | $645.65 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $257.04 Typical High $338.84 | Professional | 53 · Discontinued | $100.00 | $257.04 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $977.24 Typical High $1,258.93 | Professional | 54 · Surgery only | $371.54 | $977.24 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $194.98 Typical High $251.19 | Professional | 55 · Aftercare only | $74.13 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $128.82 Typical High $165.96 | Professional | 56 · Pre-op care only | $50.12 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $912.01 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $346.74 | $912.01 | $1,174.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $3,630.78 | Facility | None | $2,041.74 | $2,089.30 | $3,630.78 |
BCBS Michigan Setting Professional Modifier None Typical Low $104.71 Median $338.84 Typical High $549.54 | Professional | None | $104.71 | $338.84 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $1,000.00 Typical High $2,511.89 | Professional | None | $354.81 | $1,000.00 | $2,511.89 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,698.24 Median $2,884.03 Typical High $6,025.60 | Facility | None | $1,698.24 | $2,884.03 | $6,025.60 |
Health Alliance Plan Setting Professional Modifier None Typical Low $478.63 Median $1,905.46 Typical High $2,691.53 | Professional | None | $478.63 | $1,905.46 | $2,691.53 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $275.42 Typical High $851.14 | Professional | 52 · Reduced service | $239.88 | $275.42 | $851.14 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $112.20 Typical High $338.84 | Professional | 53 · Discontinued | $95.50 | $112.20 | $338.84 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $416.87 Typical High $1,258.93 | Professional | 54 · Surgery only | $363.08 | $416.87 | $1,258.93 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $83.18 Typical High $257.04 | Professional | 55 · Aftercare only | $72.44 | $83.18 | $257.04 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $56.23 Typical High $169.82 | Professional | 56 · Pre-op care only | $47.86 | $56.23 | $169.82 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $389.05 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $338.84 | $389.05 | $1,174.90 |
Priority Health Setting Professional Modifier None Typical Low $354.81 Median $954.99 Typical High $2,041.74 | Professional | None | $354.81 | $954.99 | $2,041.74 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,238.72 Typical High $7,762.47 | Facility | None | $851.14 | $2,238.72 | $7,762.47 |
United Setting Professional Modifier None Typical Low $512.86 Median $1,479.11 Typical High $3,311.31 | Professional | None | $512.86 | $1,479.11 | $3,311.31 |
Where Michigan sits
The same service costs 4.9 times more in Alaska than in Texas. 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· 21st of 51
$1,622
AK $3,020TX $617
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.