How much rates vary
Facilitymedian $813 · 10th to 90th $120 to $2,042Professionalmedian $132 · 10th to 90th $76 to $195
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 $93.33 Median $177.83 Typical High $2,884.03 | Facility | None | $93.33 | $177.83 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $194.98 | Professional | None | $91.20 | $128.82 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $66.07 Typical High $93.33 | Professional | 52 · Reduced service | $45.71 | $66.07 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $26.30 Typical High $37.15 | Professional | 53 · Discontinued | $18.20 | $26.30 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $97.72 Typical High $138.04 | Professional | 54 · Surgery only | $67.61 | $97.72 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $19.50 Typical High $27.54 | Professional | 55 · Aftercare only | $13.49 | $19.50 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $13.18 Typical High $18.62 | Professional | 56 · Pre-op care only | $9.12 | $13.18 | $18.62 |
Ambetter Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
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 $15.85 Median $79.43 Typical High $186.21 | Professional | None | $15.85 | $79.43 | $186.21 |
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 $69.18 Median $117.49 Typical High $229.09 | Professional | None | $69.18 | $117.49 | $229.09 |
Health Alliance Plan Setting Facility Modifier None Typical Low $100.00 Median $354.81 Typical High $4,897.79 | Facility | None | $100.00 | $354.81 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $91.20 Median $151.36 Typical High $208.93 | Professional | None | $91.20 | $151.36 | $208.93 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $67.61 Typical High $93.33 | Professional | 52 · Reduced service | $43.65 | $67.61 | $93.33 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.20 Typical High $37.15 | Professional | 53 · Discontinued | $17.78 | $18.20 | $37.15 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $69.18 Typical High $138.04 | Professional | 54 · Surgery only | $66.07 | $69.18 | $138.04 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.80 Typical High $27.54 | Professional | 55 · Aftercare only | $13.18 | $13.80 | $27.54 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $9.12 Typical High $18.62 | Professional | 56 · Pre-op care only | $8.91 | $9.12 | $18.62 |
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 $69.18 Median $112.20 Typical High $223.87 | Professional | None | $69.18 | $112.20 | $223.87 |
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 $89.13 Median $141.25 Typical High $190.55 | Professional | None | $89.13 | $141.25 | $190.55 |
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· 42nd of 51
$145
WI $372KY $112
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.