How much rates vary
Facilitymedian $1,738 · 10th to 90th $759 to $4,074Professionalmedian $724 · 10th to 90th $479 to $1,000
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 $562.34 Median $812.83 Typical High $5,754.40 | Facility | None | $562.34 | $812.83 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $812.83 | Professional | None | $562.34 | $602.56 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $302.00 Typical High $407.38 | Professional | 52 · Reduced service | $281.84 | $302.00 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $120.23 Typical High $162.18 | Professional | 53 · Discontinued | $112.20 | $120.23 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $457.09 Typical High $616.60 | Professional | 54 · Surgery only | $416.87 | $457.09 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $91.20 Typical High $123.03 | Professional | 55 · Aftercare only | $83.18 | $91.20 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $60.26 Typical High $81.28 | Professional | 56 · Pre-op care only | $56.23 | $60.26 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $426.58 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $389.05 | $426.58 | $575.44 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,737.80 Median $1,778.28 Typical High $3,090.30 | Facility | None | $1,737.80 | $1,778.28 | $3,090.30 |
BCBS Michigan Setting Professional Modifier None Typical Low $112.20 Median $660.69 Typical High $1,000.00 | Professional | None | $112.20 | $660.69 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $1,047.13 | Professional | None | $457.09 | $645.65 | $1,047.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $776.25 Median $1,819.70 Typical High $4,897.79 | Facility | None | $776.25 | $1,819.70 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $954.99 | Professional | None | $602.56 | $758.58 | $954.99 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $295.12 Typical High $407.38 | Professional | 52 · Reduced service | $275.42 | $295.12 | $407.38 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $120.23 Typical High $162.18 | Professional | 53 · Discontinued | $109.65 | $120.23 | $162.18 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $446.68 Typical High $616.60 | Professional | 54 · Surgery only | $416.87 | $446.68 | $616.60 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $89.13 Typical High $123.03 | Professional | 55 · Aftercare only | $83.18 | $89.13 | $123.03 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $60.26 Typical High $81.28 | Professional | 56 · Pre-op care only | $54.95 | $60.26 | $81.28 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $416.87 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $389.05 | $416.87 | $575.44 |
Priority Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Priority Health Setting Professional Modifier None Typical Low $436.52 Median $645.65 Typical High $977.24 | Professional | None | $436.52 | $645.65 | $977.24 |
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 $537.03 Median $691.83 Typical High $954.99 | Professional | None | $537.03 | $691.83 | $954.99 |
Where Michigan sits
The same service costs 4.1 times more in Alaska than in Kentucky. 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· 31st of 51
$759
AK $2,291KY $562
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.