How much rates vary
Facilitymedian $170 · 10th to 90th $95 to $501Professionalmedian $89 · 10th to 90th $65 to $120
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 $69.18 Median $107.15 Typical High $4,897.79 | Facility | None | $69.18 | $107.15 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $114.82 | Professional | None | $69.18 | $79.43 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $39.81 Typical High $57.54 | Professional | 52 · Reduced service | $34.67 | $39.81 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.85 Typical High $22.91 | Professional | 53 · Discontinued | $13.80 | $15.85 | $22.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $60.26 Typical High $85.11 | Professional | 54 · Surgery only | $52.48 | $60.26 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $12.02 Typical High $16.98 | Professional | 55 · Aftercare only | $10.47 | $12.02 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.94 Typical High $11.48 | Professional | 56 · Pre-op care only | $6.92 | $7.94 | $11.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $125.89 Median $162.18 Typical High $389.05 | Facility | None | $125.89 | $162.18 | $389.05 |
BCBS Michigan Setting Professional Modifier None Typical Low $47.86 Median $77.62 Typical High $77.62 | Professional | None | $47.86 | $77.62 | $77.62 |
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 $52.48 Median $83.18 Typical High $138.04 | Professional | None | $52.48 | $83.18 | $138.04 |
Health Alliance Plan Setting Facility Modifier None Typical Low $61.66 Median $144.54 Typical High $467.74 | Facility | None | $61.66 | $144.54 | $467.74 |
Health Alliance Plan Setting Professional Modifier None Typical Low $69.18 Median $107.15 Typical High $128.82 | Professional | None | $69.18 | $107.15 | $128.82 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $36.31 Typical High $56.23 | Professional | 52 · Reduced service | $34.67 | $36.31 | $56.23 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.45 Typical High $22.39 | Professional | 53 · Discontinued | $13.80 | $14.45 | $22.39 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $53.70 Typical High $83.18 | Professional | 54 · Surgery only | $51.29 | $53.70 | $83.18 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.72 Typical High $16.60 | Professional | 55 · Aftercare only | $10.23 | $10.72 | $16.60 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.24 Typical High $11.22 | Professional | 56 · Pre-op care only | $6.92 | $7.24 | $11.22 |
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 $52.48 Median $81.28 Typical High $138.04 | Professional | None | $52.48 | $81.28 | $138.04 |
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 $70.79 Median $97.72 Typical High $128.82 | Professional | None | $70.79 | $97.72 | $128.82 |
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· 38th of 51
$93.33
WI $240DC $77.62
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.