How much rates vary
Facilitymedian $1,380 · 10th to 90th $631 to $3,802Professionalmedian $269 · 10th to 90th $186 to $324
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 $263.03 Median $295.12 Typical High $6,918.31 | Facility | None | $263.03 | $295.12 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $295.12 | Professional | None | $213.80 | $263.03 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $131.83 Typical High $144.54 | Professional | 52 · Reduced service | $123.03 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $52.48 Typical High $58.88 | Professional | 53 · Discontinued | $48.98 | $52.48 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $194.98 Typical High $218.78 | Professional | 54 · Surgery only | $186.21 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $39.81 Typical High $43.65 | Professional | 55 · Aftercare only | $37.15 | $39.81 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $26.30 Typical High $29.51 | Professional | 56 · Pre-op care only | $24.55 | $26.30 | $29.51 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $181.97 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $173.78 | $181.97 | $204.17 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $2,398.83 | Facility | None | $1,380.38 | $1,412.54 | $2,398.83 |
BCBS Michigan Setting Professional Modifier None Typical Low $52.48 Median $186.21 Typical High $309.03 | Professional | None | $52.48 | $186.21 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $229.09 Typical High $371.54 | Professional | None | $194.98 | $229.09 | $371.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $295.12 Median $1,174.90 Typical High $5,754.40 | Facility | None | $295.12 | $1,174.90 | $5,754.40 |
Health Alliance Plan Setting Professional Modifier None Typical Low $229.09 Median $281.84 Typical High $354.81 | Professional | None | $229.09 | $281.84 | $354.81 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | 52 · Reduced service | $131.83 | $131.83 | $147.91 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $53.70 Typical High $58.88 | Professional | 53 · Discontinued | $52.48 | $53.70 | $58.88 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $199.53 Typical High $223.87 | Professional | 54 · Surgery only | $199.53 | $199.53 | $223.87 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $44.67 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $44.67 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $29.51 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $29.51 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $186.21 | $186.21 | $208.93 |
Priority Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Priority Health Setting Professional Modifier None Typical Low $181.97 Median $229.09 Typical High $371.54 | Professional | None | $181.97 | $229.09 | $371.54 |
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 $239.88 Median $269.15 Typical High $346.74 | Professional | None | $239.88 | $269.15 | $346.74 |
Where Michigan sits
The same service costs 4.6 times more in Oklahoma than in Utah. 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
$282
OK $1,047UT $229
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.