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 $63.10 Median $165.96 Typical High $4,897.79 | Facility | None | $63.10 | $165.96 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $158.49 Typical High $173.78 | Professional | None | $63.10 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $79.43 Typical High $83.18 | Professional | 52 · Reduced service | $31.62 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $31.62 Typical High $33.11 | Professional | 53 · Discontinued | $12.59 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $117.49 Typical High $123.03 | Professional | 54 · Surgery only | $46.77 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $23.44 Typical High $24.55 | Professional | 55 · Aftercare only | $9.33 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $15.85 Typical High $16.60 | Professional | 56 · Pre-op care only | $6.31 | $15.85 | $16.60 |
BCBS Michigan Setting Facility Modifier None Typical Low $218.78 Median $512.86 Typical High $1,071.52 | Facility | None | $218.78 | $512.86 | $1,071.52 |
BCBS Michigan Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $245.47 | Professional | None | $72.44 | $72.44 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $117.49 Typical High $234.42 | Professional | None | $50.12 | $117.49 | $234.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $186.21 Median $501.19 Typical High $4,897.79 | Facility | None | $186.21 | $501.19 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $83.18 Median $190.55 Typical High $229.09 | Professional | None | $83.18 | $190.55 | $229.09 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $48.98 Typical High $97.72 | Professional | 52 · Reduced service | $41.69 | $48.98 | $97.72 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.95 Typical High $38.90 | Professional | 53 · Discontinued | $16.60 | $19.95 | $38.90 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $74.13 Typical High $147.91 | Professional | 54 · Surgery only | $63.10 | $74.13 | $147.91 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $14.79 Typical High $29.51 | Professional | 55 · Aftercare only | $12.59 | $14.79 | $29.51 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $9.77 Typical High $19.50 | Professional | 56 · Pre-op care only | $8.32 | $9.77 | $19.50 |
Priority Health Setting Professional Modifier None Typical Low $50.12 Median $109.65 Typical High $234.42 | Professional | None | $50.12 | $109.65 | $234.42 |
United Setting Facility Modifier None Typical Low $204.17 Median $269.15 Typical High $562.34 | Facility | None | $204.17 | $269.15 | $562.34 |
United Setting Professional Modifier None Typical Low $66.07 Median $138.04 Typical High $199.53 | Professional | None | $66.07 | $138.04 | $199.53 |
Where Michigan sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 17th of 51
$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.