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 $346.74 Median $489.78 Typical High $4,897.79 | Facility | None | $346.74 | $489.78 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $501.19 | Professional | None | $331.13 | $363.08 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $177.83 Typical High $251.19 | Professional | 52 · Reduced service | $173.78 | $177.83 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $72.44 Typical High $100.00 | Professional | 53 · Discontinued | $69.18 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $269.15 Typical High $371.54 | Professional | 54 · Surgery only | $257.04 | $269.15 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $53.70 Typical High $74.13 | Professional | 55 · Aftercare only | $51.29 | $53.70 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $36.31 Typical High $50.12 | Professional | 56 · Pre-op care only | $34.67 | $36.31 | $50.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $4,677.35 | Facility | None | $2,691.53 | $2,691.53 | $4,677.35 |
BCBS Michigan Setting Professional Modifier None Typical Low $229.09 Median $371.54 Typical High $660.69 | Professional | None | $229.09 | $371.54 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $407.38 Typical High $794.33 | Professional | None | $275.42 | $407.38 | $794.33 |
Health Alliance Plan Setting Facility Modifier None Typical Low $380.19 Median $1,148.15 Typical High $5,128.61 | Facility | None | $380.19 | $1,148.15 | $5,128.61 |
Health Alliance Plan Setting Professional Modifier None Typical Low $331.13 Median $457.09 Typical High $575.44 | Professional | None | $331.13 | $457.09 | $575.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $173.78 Typical High $239.88 | Professional | 52 · Reduced service | $165.96 | $173.78 | $239.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $69.18 Typical High $95.50 | Professional | 53 · Discontinued | $67.61 | $69.18 | $95.50 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $263.03 Typical High $363.08 | Professional | 54 · Surgery only | $251.19 | $263.03 | $363.08 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $52.48 Typical High $72.44 | Professional | 55 · Aftercare only | $50.12 | $52.48 | $72.44 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $34.67 Typical High $47.86 | Professional | 56 · Pre-op care only | $33.11 | $34.67 | $47.86 |
Priority Health Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Priority Health Setting Professional Modifier None Typical Low $275.42 Median $407.38 Typical High $912.01 | Professional | None | $275.42 | $407.38 | $912.01 |
United Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $3,715.35 | Facility | None | $288.40 | $426.58 | $3,715.35 |
United Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $602.56 | Professional | None | $323.59 | $457.09 | $602.56 |
Where Michigan sits
The same service costs 3.9 times more in Alaska than in New York. 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· 39th of 51
$427
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.