How much rates vary
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 $147.91 Median $281.84 Typical High $5,754.40 | Facility | None | $147.91 | $281.84 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $295.12 | Professional | None | $147.91 | $229.09 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $104.71 Typical High $141.25 | Professional | 52 · Reduced service | $74.13 | $104.71 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $41.69 Typical High $56.23 | Professional | 53 · Discontinued | $29.51 | $41.69 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $154.88 Typical High $213.80 | Professional | 54 · Surgery only | $112.20 | $154.88 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $30.90 Typical High $42.66 | Professional | 55 · Aftercare only | $22.39 | $30.90 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $20.89 Typical High $28.18 | Professional | 56 · Pre-op care only | $14.79 | $20.89 | $28.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,584.89 Median $1,621.81 Typical High $2,754.23 | Facility | None | $1,584.89 | $1,621.81 | $2,754.23 |
BCBS Michigan Setting Professional Modifier None Typical Low $104.71 Median $251.19 Typical High $251.19 | Professional | None | $104.71 | $251.19 | $251.19 |
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 $123.03 Median $186.21 Typical High $338.84 | Professional | None | $123.03 | $186.21 | $338.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $173.78 Median $371.54 Typical High $5,754.40 | Facility | None | $173.78 | $371.54 | $5,754.40 |
Health Alliance Plan Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $309.03 | Professional | None | $158.49 | $251.19 | $309.03 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $89.13 Typical High $144.54 | Professional | 52 · Reduced service | $74.13 | $89.13 | $144.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $35.48 Typical High $57.54 | Professional | 53 · Discontinued | $29.51 | $35.48 | $57.54 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $131.83 Typical High $213.80 | Professional | 54 · Surgery only | $109.65 | $131.83 | $213.80 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $26.30 Typical High $42.66 | Professional | 55 · Aftercare only | $21.88 | $26.30 | $42.66 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $17.78 Typical High $28.84 | Professional | 56 · Pre-op care only | $14.79 | $17.78 | $28.84 |
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 $114.82 Median $173.78 Typical High $338.84 | Professional | None | $114.82 | $173.78 | $338.84 |
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 $151.36 Median $239.88 Typical High $870.96 | Professional | None | $151.36 | $239.88 | $870.96 |
Where Michigan sits
The same service costs 3.2 times more in Oklahoma 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· 37th of 51
$251
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.