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 $501.19 Median $1,995.26 Typical High $4,897.79 | Facility | None | $501.19 | $1,995.26 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $1,000.00 Typical High $2,041.74 | Professional | None | $501.19 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $776.25 Typical High $1,000.00 | Professional | 52 · Reduced service | $251.19 | $776.25 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $309.03 Typical High $407.38 | Professional | 53 · Discontinued | $100.00 | $309.03 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $1,148.15 Typical High $1,513.56 | Professional | 54 · Surgery only | $371.54 | $1,148.15 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $229.09 Typical High $302.00 | Professional | 55 · Aftercare only | $74.13 | $229.09 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $154.88 Typical High $199.53 | Professional | 56 · Pre-op care only | $50.12 | $154.88 | $199.53 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $4,365.16 | Facility | None | $1,380.38 | $1,778.28 | $4,365.16 |
BCBS Michigan Setting Professional Modifier None Typical Low $109.65 Median $338.84 Typical High $549.54 | Professional | None | $109.65 | $338.84 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $1,148.15 Typical High $2,398.83 | Professional | None | $354.81 | $1,148.15 | $2,398.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $831.76 Median $2,630.27 Typical High $5,248.07 | Facility | None | $831.76 | $2,630.27 | $5,248.07 |
Health Alliance Plan Setting Professional Modifier None Typical Low $478.63 Median $2,041.74 Typical High $3,090.30 | Professional | None | $478.63 | $2,041.74 | $3,090.30 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $251.19 Typical High $1,023.29 | Professional | 52 · Reduced service | $239.88 | $251.19 | $1,023.29 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $100.00 Typical High $407.38 | Professional | 53 · Discontinued | $95.50 | $100.00 | $407.38 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $371.54 Typical High $1,548.82 | Professional | 54 · Surgery only | $363.08 | $371.54 | $1,548.82 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $74.13 Typical High $309.03 | Professional | 55 · Aftercare only | $72.44 | $74.13 | $309.03 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $50.12 Typical High $204.17 | Professional | 56 · Pre-op care only | $47.86 | $50.12 | $204.17 |
Priority Health Setting Professional Modifier None Typical Low $354.81 Median $891.25 Typical High $2,398.83 | Professional | None | $354.81 | $891.25 | $2,398.83 |
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 $457.09 Median $1,659.59 Typical High $2,630.27 | Professional | None | $457.09 | $1,659.59 | $2,630.27 |
Where Michigan sits
The same service costs 3.6 times more in Iowa than in Nebraska. 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· 38th of 51
$1,549
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.