How much rates vary
Facilitymedian $135 · 10th to 90th $78 to $2,884Professionalmedian $158 · 10th to 90th $98 to $204
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 $134.90 Median $199.53 Typical High $4,897.79 | Facility | None | $134.90 | $199.53 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $204.17 | Professional | None | $134.90 | $151.36 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $72.44 Typical High $102.33 | Professional | 52 · Reduced service | $67.61 | $72.44 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $41.69 | Professional | 53 · Discontinued | $27.54 | $28.84 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $109.65 Typical High $154.88 | Professional | 54 · Surgery only | $102.33 | $109.65 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $21.88 Typical High $30.90 | Professional | 55 · Aftercare only | $20.42 | $21.88 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $14.45 Typical High $20.42 | Professional | 56 · Pre-op care only | $13.49 | $14.45 | $20.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $102.33 Typical High $144.54 | Professional | 78 · Unplanned return to OR | $95.50 | $102.33 | $144.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $144.54 | Facility | None | $77.62 | $77.62 | $144.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $26.92 Median $151.36 Typical High $158.49 | Professional | None | $26.92 | $151.36 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $154.88 Typical High $245.47 | Professional | None | $100.00 | $154.88 | $245.47 |
Health Alliance Plan Setting Facility Modifier None Typical Low $81.28 Median $218.78 Typical High $4,073.80 | Facility | None | $81.28 | $218.78 | $4,073.80 |
Health Alliance Plan Setting Professional Modifier None Typical Low $134.90 Median $169.82 Typical High $213.80 | Professional | None | $134.90 | $169.82 | $213.80 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $69.18 Typical High $102.33 | Professional | 52 · Reduced service | $66.07 | $69.18 | $102.33 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $27.54 Typical High $40.74 | Professional | 53 · Discontinued | $26.92 | $27.54 | $40.74 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $104.71 Typical High $151.36 | Professional | 54 · Surgery only | $100.00 | $104.71 | $151.36 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $20.89 Typical High $30.90 | Professional | 55 · Aftercare only | $19.95 | $20.89 | $30.90 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $13.80 Typical High $20.42 | Professional | 56 · Pre-op care only | $13.49 | $13.80 | $20.42 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $97.72 Typical High $141.25 | Professional | 78 · Unplanned return to OR | $93.33 | $97.72 | $141.25 |
Priority Health Setting Professional Modifier None Typical Low $87.10 Median $144.54 Typical High $245.47 | Professional | None | $87.10 | $144.54 | $245.47 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $5,248.07 | Facility | None | $602.56 | $1,230.27 | $5,248.07 |
United Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $213.80 | Professional | None | $134.90 | $162.18 | $213.80 |
Where Michigan sits
The same service costs 3.6 times more in Wisconsin than in Texas. 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· 40th of 51
$158
WI $468TX $129
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.