How much rates vary
Facilitymedian $14,125 · 10th to 90th $562 to $30,903Professionalmedian $15,849 · 10th to 90th $692 to $23,988
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 $4,897.79 Median $23,988.33 Typical High $23,988.33 | Facility | None | $4,897.79 | $23,988.33 | $23,988.33 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $23,988.33 Typical High $23,988.33 | Professional | None | $691.83 | $23,988.33 | $23,988.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $12,022.64 Typical High $12,022.64 | Professional | 52 · Reduced service | $346.74 | $12,022.64 | $12,022.64 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $4,786.30 Typical High $4,786.30 | Professional | 53 · Discontinued | $138.04 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $17,782.79 Typical High $17,782.79 | Professional | 54 · Surgery only | $512.86 | $17,782.79 | $17,782.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $3,630.78 Typical High $3,630.78 | Professional | 55 · Aftercare only | $102.33 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $2,398.83 Typical High $2,398.83 | Professional | 56 · Pre-op care only | $69.18 | $2,398.83 | $2,398.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $12,589.25 Median $14,454.40 Typical High $37,153.52 | Facility | None | $12,589.25 | $14,454.40 | $37,153.52 |
BCBS Michigan Setting Professional Modifier None Typical Low $2,511.89 Median $15,848.93 Typical High $15,848.93 | Professional | None | $2,511.89 | $15,848.93 | $15,848.93 |
Health Alliance Plan Setting Facility Modifier None Typical Low $691.83 Median $4,897.79 Typical High $14,125.38 | Facility | None | $691.83 | $4,897.79 | $14,125.38 |
Health Alliance Plan Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $7,413.10 | Professional | None | $691.83 | $691.83 | $7,413.10 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
United Setting Facility Modifier None Typical Low $426.58 Median $549.54 Typical High $4,265.80 | Facility | None | $426.58 | $549.54 | $4,265.80 |
Where Michigan sits
The same service costs 6025.6 times more in Oklahoma than in Maine. 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· 7th of 51
$15,136
OK $23,988ME $3.98
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.