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 $154.88 Median $251.19 Typical High $4,897.79 | Facility | None | $154.88 | $251.19 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $251.19 | Professional | None | $154.88 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $95.50 Typical High $125.89 | Professional | 52 · Reduced service | $77.62 | $95.50 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.02 Typical High $50.12 | Professional | 53 · Discontinued | $30.90 | $38.02 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $144.54 Typical High $186.21 | Professional | 54 · Surgery only | $114.82 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $28.84 Typical High $37.15 | Professional | 55 · Aftercare only | $22.91 | $28.84 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $19.05 Typical High $25.12 | Professional | 56 · Pre-op care only | $15.49 | $19.05 | $25.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,698.24 | Facility | None | $977.24 | $977.24 | $1,698.24 |
BCBS Michigan Setting Professional Modifier None Typical Low $27.54 Median $100.00 Typical High $288.40 | Professional | None | $27.54 | $100.00 | $288.40 |
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 $112.20 Median $181.97 Typical High $338.84 | Professional | None | $112.20 | $181.97 | $338.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $251.19 Median $954.99 Typical High $4,897.79 | Facility | None | $251.19 | $954.99 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $281.84 | Professional | None | $151.36 | $229.09 | $281.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $79.43 Typical High $125.89 | Professional | 52 · Reduced service | $75.86 | $79.43 | $125.89 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $31.62 Typical High $50.12 | Professional | 53 · Discontinued | $30.20 | $31.62 | $50.12 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $117.49 Typical High $190.55 | Professional | 54 · Surgery only | $114.82 | $117.49 | $190.55 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $23.99 Typical High $38.02 | Professional | 55 · Aftercare only | $22.91 | $23.99 | $38.02 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.85 Typical High $25.12 | Professional | 56 · Pre-op care only | $15.14 | $15.85 | $25.12 |
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 $112.20 Median $169.82 Typical High $302.00 | Professional | None | $112.20 | $169.82 | $302.00 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,162.28 | Facility | None | $426.58 | $602.56 | $3,162.28 |
United Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $281.84 | Professional | None | $147.91 | $213.80 | $281.84 |
Where Michigan sits
The same service costs 4.0 times more in Alaska 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· 43rd of 51
$204
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.