How much rates vary
Facilitymedian $204 · 10th to 90th $89 to $490Professionalmedian $78 · 10th to 90th $51 to $112
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 $56.23 Median $87.10 Typical High $4,897.79 | Facility | None | $56.23 | $87.10 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $74.13 Typical High $100.00 | Professional | None | $56.23 | $74.13 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $32.36 Typical High $46.77 | Professional | 52 · Reduced service | $28.18 | $32.36 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $13.18 Typical High $18.62 | Professional | 53 · Discontinued | $11.22 | $13.18 | $18.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $48.98 Typical High $69.18 | Professional | 54 · Surgery only | $41.69 | $48.98 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $9.77 Typical High $14.13 | Professional | 55 · Aftercare only | $8.32 | $9.77 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $6.46 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.62 | $6.46 | $9.33 |
BCBS Michigan Setting Facility Modifier None Typical Low $204.17 Median $208.93 Typical High $354.81 | Facility | None | $204.17 | $208.93 | $354.81 |
BCBS Michigan Setting Professional Modifier None Typical Low $10.72 Median $63.10 Typical High $117.49 | Professional | None | $10.72 | $63.10 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $67.61 Typical High $112.20 | Professional | None | $40.74 | $67.61 | $112.20 |
Health Alliance Plan Setting Facility Modifier None Typical Low $60.26 Median $89.13 Typical High $380.19 | Facility | None | $60.26 | $89.13 | $380.19 |
Health Alliance Plan Setting Professional Modifier None Typical Low $56.23 Median $87.10 Typical High $109.65 | Professional | None | $56.23 | $87.10 | $109.65 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $28.84 Typical High $45.71 | Professional | 52 · Reduced service | $27.54 | $28.84 | $45.71 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.48 Typical High $18.20 | Professional | 53 · Discontinued | $10.96 | $11.48 | $18.20 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $42.66 Typical High $67.61 | Professional | 54 · Surgery only | $40.74 | $42.66 | $67.61 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.51 Typical High $13.49 | Professional | 55 · Aftercare only | $8.32 | $8.51 | $13.49 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.75 Typical High $9.12 | Professional | 56 · Pre-op care only | $5.50 | $5.75 | $9.12 |
Priority Health Setting Professional Modifier None Typical Low $38.90 Median $64.57 Typical High $109.65 | Professional | None | $38.90 | $64.57 | $109.65 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,202.26 | Facility | None | $91.20 | $177.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $109.65 | Professional | None | $56.23 | $77.62 | $109.65 |
Where Michigan sits
The same service costs 3.1 times more in Wisconsin than in Washington, DC. 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· 30th of 51
$81.28
WI $200DC $64.57
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.