How much rates vary
Facilitymedian $224 · 10th to 90th $126 to $741Professionalmedian $224 · 10th to 90th $186 to $269
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 $213.80 Median $2,041.74 Typical High $4,897.79 | Facility | None | $213.80 | $2,041.74 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $213.80 Typical High $213.80 | Professional | None | $186.21 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $93.33 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $37.15 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $162.18 Typical High $162.18 | Professional | 54 · Surgery only | $138.04 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $27.54 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $18.62 | $21.38 | $21.38 |
BCBS Michigan Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $354.81 | Facility | None | $204.17 | $204.17 | $354.81 |
BCBS Michigan Setting Professional Modifier None Typical Low $52.48 Median $245.47 Typical High $245.47 | Professional | None | $52.48 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $501.19 | Professional | None | $144.54 | $186.21 | $501.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $380.19 Median $524.81 Typical High $4,897.79 | Facility | None | $380.19 | $524.81 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $199.53 Median $213.80 Typical High $288.40 | Professional | None | $199.53 | $213.80 | $288.40 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $162.18 | Professional | 54 · Surgery only | $158.49 | $158.49 | $162.18 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $32.36 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $32.36 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
Priority Health Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $281.84 | Professional | None | $144.54 | $186.21 | $281.84 |
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 $204.17 Median $229.09 Typical High $302.00 | Professional | None | $204.17 | $229.09 | $302.00 |
Where Michigan sits
The same service costs 3.2 times more in Alaska 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· 35th of 51
$224
AK $562TX $178
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.