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 $109.65 Median $162.18 Typical High $4,897.79 | Facility | None | $109.65 | $162.18 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $165.96 | Professional | None | $102.33 | $125.89 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $57.54 Typical High $83.18 | Professional | 52 · Reduced service | $54.95 | $57.54 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.44 Typical High $33.88 | Professional | 53 · Discontinued | $21.88 | $23.44 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $87.10 Typical High $125.89 | Professional | 54 · Surgery only | $81.28 | $87.10 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $17.38 Typical High $25.12 | Professional | 55 · Aftercare only | $16.22 | $17.38 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $11.75 Typical High $16.60 | Professional | 56 · Pre-op care only | $10.96 | $11.75 | $16.60 |
BCBS Michigan Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $128.82 | Facility | None | $74.13 | $74.13 | $128.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $25.12 Median $125.89 Typical High $194.98 | Professional | None | $25.12 | $125.89 | $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 $79.43 Median $125.89 Typical High $199.53 | Professional | None | $79.43 | $125.89 | $199.53 |
Health Alliance Plan Setting Facility Modifier None Typical Low $75.86 Median $181.97 Typical High $2,884.03 | Facility | None | $75.86 | $181.97 | $2,884.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $181.97 | Professional | None | $107.15 | $151.36 | $181.97 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $54.95 Typical High $81.28 | Professional | 52 · Reduced service | $52.48 | $54.95 | $81.28 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $32.36 | Professional | 53 · Discontinued | $21.38 | $21.88 | $32.36 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $83.18 Typical High $120.23 | Professional | 54 · Surgery only | $79.43 | $83.18 | $120.23 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $16.60 Typical High $23.99 | Professional | 55 · Aftercare only | $15.85 | $16.60 | $23.99 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.96 Typical High $16.22 | Professional | 56 · Pre-op care only | $10.72 | $10.96 | $16.22 |
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 $70.79 Median $125.89 Typical High $194.98 | Professional | None | $70.79 | $125.89 | $194.98 |
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 $109.65 Median $138.04 Typical High $173.78 | Professional | None | $109.65 | $138.04 | $173.78 |
Where Michigan sits
The same service costs 3.3 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· 45th of 51
$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.