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 $81.28 Median $125.89 Typical High $2,884.03 | Facility | None | $81.28 | $125.89 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $134.90 | Professional | None | $79.43 | $91.20 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $44.67 Typical High $64.57 | Professional | 52 · Reduced service | $39.81 | $44.67 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $17.78 Typical High $25.70 | Professional | 53 · Discontinued | $15.85 | $17.78 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $66.07 Typical High $97.72 | Professional | 54 · Surgery only | $60.26 | $66.07 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $13.18 Typical High $19.50 | Professional | 55 · Aftercare only | $12.02 | $13.18 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.91 Typical High $12.88 | Professional | 56 · Pre-op care only | $7.94 | $8.91 | $12.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $1,412.54 | Facility | None | $812.83 | $812.83 | $1,412.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $18.20 Median $85.11 Typical High $173.78 | Professional | None | $18.20 | $85.11 | $173.78 |
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 $57.54 Median $95.50 Typical High $154.88 | Professional | None | $57.54 | $95.50 | $154.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $57.54 Median $125.89 Typical High $2,041.74 | Facility | None | $57.54 | $125.89 | $2,041.74 |
Health Alliance Plan Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $141.25 | Professional | None | $79.43 | $114.82 | $141.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $40.74 Typical High $63.10 | Professional | 52 · Reduced service | $38.90 | $40.74 | $63.10 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.22 Typical High $25.12 | Professional | 53 · Discontinued | $15.49 | $16.22 | $25.12 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $60.26 Typical High $93.33 | Professional | 54 · Surgery only | $57.54 | $60.26 | $93.33 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $12.02 Typical High $19.05 | Professional | 55 · Aftercare only | $11.75 | $12.02 | $19.05 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $8.13 Typical High $12.59 | Professional | 56 · Pre-op care only | $7.76 | $8.13 | $12.59 |
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 $56.23 Median $93.33 Typical High $151.36 | Professional | None | $56.23 | $93.33 | $151.36 |
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 $79.43 Median $102.33 Typical High $131.83 | Professional | None | $79.43 | $102.33 | $131.83 |
Where Michigan sits
The same service costs 3.6 times more in Wisconsin 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· 35th of 51
$102
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.