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 $181.97 Median $229.09 Typical High $4,897.79 | Facility | None | $181.97 | $229.09 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $181.97 Typical High $229.09 | Professional | None | $177.83 | $181.97 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $91.20 Typical High $112.20 | Professional | 52 · Reduced service | $89.13 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $36.31 Typical High $45.71 | Professional | 53 · Discontinued | $35.48 | $36.31 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $134.90 Typical High $169.82 | Professional | 54 · Surgery only | $134.90 | $134.90 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $33.88 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $18.20 Typical High $22.91 | Professional | 56 · Pre-op care only | $17.78 | $18.20 | $22.91 |
BCBS Michigan Setting Facility Modifier None Typical Low $104.71 Median $107.15 Typical High $186.21 | Facility | None | $104.71 | $107.15 | $186.21 |
BCBS Michigan Setting Professional Modifier None Typical Low $39.81 Median $123.03 Typical High $194.98 | Professional | None | $39.81 | $123.03 | $194.98 |
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 $123.03 Median $190.55 Typical High $263.03 | Professional | None | $123.03 | $190.55 | $263.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $112.20 Median $436.52 Typical High $4,897.79 | Facility | None | $112.20 | $436.52 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $251.19 | Professional | None | $177.83 | $213.80 | $251.19 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $112.20 | Professional | 52 · Reduced service | $89.13 | $89.13 | $112.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $44.67 | Professional | 53 · Discontinued | $35.48 | $35.48 | $44.67 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $134.90 Typical High $165.96 | Professional | 54 · Surgery only | $134.90 | $134.90 | $165.96 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $33.11 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $33.11 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $22.39 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $22.39 |
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 $104.71 Median $181.97 Typical High $245.47 | Professional | None | $104.71 | $181.97 | $245.47 |
United Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $2,089.30 | Facility | None | $288.40 | $426.58 | $2,089.30 |
United Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $263.03 | Professional | None | $169.82 | $208.93 | $263.03 |
Where Michigan sits
The same service costs 3.4 times more in Alaska than in Pennsylvania. 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
$195
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.