How much rates vary
Facilitymedian $891 · 10th to 90th $417 to $2,042Professionalmedian $200 · 10th to 90th $148 to $240
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 $151.36 Median $234.42 Typical High $4,897.79 | Facility | None | $151.36 | $234.42 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $234.42 | Professional | None | $165.96 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $100.00 Typical High $117.49 | Professional | 52 · Reduced service | $83.18 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $39.81 Typical High $46.77 | Professional | 53 · Discontinued | $33.11 | $39.81 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $151.36 Typical High $173.78 | Professional | 54 · Surgery only | $125.89 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $30.20 Typical High $34.67 | Professional | 55 · Aftercare only | $25.12 | $30.20 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $19.95 Typical High $23.44 | Professional | 56 · Pre-op care only | $16.60 | $19.95 | $23.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $141.25 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $117.49 | $141.25 | $162.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $891.25 Median $912.01 Typical High $1,548.82 | Facility | None | $891.25 | $912.01 | $1,548.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $38.02 Median $223.87 Typical High $239.88 | Professional | None | $38.02 | $223.87 | $239.88 |
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 $138.04 Median $199.53 Typical High $354.81 | Professional | None | $138.04 | $199.53 | $354.81 |
Health Alliance Plan Setting Facility Modifier None Typical Low $234.42 Median $416.87 Typical High $4,897.79 | Facility | None | $234.42 | $416.87 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $234.42 | Professional | None | $165.96 | $213.80 | $234.42 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $117.49 | Professional | 52 · Reduced service | $100.00 | $100.00 | $117.49 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | 53 · Discontinued | $39.81 | $39.81 | $46.77 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | 54 · Surgery only | $147.91 | $147.91 | $173.78 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $34.67 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $23.44 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $138.04 | $138.04 | $162.18 |
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 $128.82 Median $194.98 Typical High $354.81 | Professional | None | $128.82 | $194.98 | $354.81 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,162.28 | Facility | None | $426.58 | $602.56 | $3,162.28 |
United Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $245.47 | Professional | None | $165.96 | $190.55 | $245.47 |
Where Michigan sits
The same service costs 4.6 times more in Alaska 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· 34th of 51
$214
AK $759UT $166
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.