How much rates vary
Facilitymedian $148 · 10th to 90th $85 to $3,090Professionalmedian $141 · 10th to 90th $115 to $204
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 $138.04 Median $199.53 Typical High $4,897.79 | Facility | None | $138.04 | $199.53 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $204.17 | Professional | None | $125.89 | $151.36 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $72.44 Typical High $102.33 | Professional | 52 · Reduced service | $67.61 | $72.44 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $40.74 | Professional | 53 · Discontinued | $27.54 | $28.84 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $109.65 Typical High $154.88 | Professional | 54 · Surgery only | $102.33 | $109.65 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $21.88 Typical High $30.90 | Professional | 55 · Aftercare only | $20.42 | $21.88 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $14.45 Typical High $20.42 | Professional | 56 · Pre-op care only | $13.80 | $14.45 | $20.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $102.33 Typical High $144.54 | Professional | 78 · Unplanned return to OR | $95.50 | $102.33 | $144.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $85.11 Median $87.10 Typical High $147.91 | Facility | None | $85.11 | $87.10 | $147.91 |
BCBS Michigan Setting Professional Modifier None Typical Low $72.44 Median $120.23 Typical High $199.53 | Professional | None | $72.44 | $120.23 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $251.19 | Professional | None | $104.71 | $147.91 | $251.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $89.13 Median $257.04 Typical High $6,760.83 | Facility | None | $89.13 | $257.04 | $6,760.83 |
Health Alliance Plan Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $204.17 | Professional | None | $117.49 | $151.36 | $204.17 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $70.79 Typical High $100.00 | Professional | 52 · Reduced service | $67.61 | $70.79 | $100.00 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.18 Typical High $40.74 | Professional | 53 · Discontinued | $26.92 | $28.18 | $40.74 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $104.71 Typical High $151.36 | Professional | 54 · Surgery only | $102.33 | $104.71 | $151.36 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.89 Typical High $30.20 | Professional | 55 · Aftercare only | $20.42 | $20.89 | $30.20 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $14.13 Typical High $20.42 | Professional | 56 · Pre-op care only | $13.49 | $14.13 | $20.42 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $97.72 Typical High $141.25 | Professional | 78 · Unplanned return to OR | $95.50 | $97.72 | $141.25 |
Priority Health Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $251.19 | Professional | None | $104.71 | $123.03 | $251.19 |
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 $114.82 Median $141.25 Typical High $181.97 | Professional | None | $114.82 | $141.25 | $181.97 |
Where Michigan sits
The same service costs 3.7 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· 47th of 51
$141
AK $468KY $126
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.