How much rates vary
Facilitymedian $14,125 · 10th to 90th $3,548 to $30,903Professionalmedian $16,596 · 10th to 90th $912 to $18,621
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 $6,918.31 Typical High $20,892.96 | Facility | None | $4,897.79 | $6,918.31 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $16,595.87 Typical High $16,595.87 | Professional | None | $1,148.15 | $16,595.87 | $16,595.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $8,317.64 Typical High $8,317.64 | Professional | 52 · Reduced service | $575.44 | $8,317.64 | $8,317.64 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $3,311.31 Typical High $3,311.31 | Professional | 53 · Discontinued | $229.09 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $12,302.69 Typical High $12,302.69 | Professional | 54 · Surgery only | $851.14 | $12,302.69 | $12,302.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $2,454.71 Typical High $2,454.71 | Professional | 55 · Aftercare only | $173.78 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $1,659.59 Typical High $1,659.59 | Professional | 56 · Pre-op care only | $114.82 | $1,659.59 | $1,659.59 |
BCBS Michigan Setting Facility Modifier None Typical Low $12,589.25 Median $14,125.38 Typical High $37,153.52 | Facility | None | $12,589.25 | $14,125.38 | $37,153.52 |
BCBS Michigan Setting Professional Modifier None Typical Low $2,511.89 Median $17,782.79 Typical High $18,620.87 | Professional | None | $2,511.89 | $17,782.79 | $18,620.87 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,344.23 Median $12,022.64 Typical High $20,892.96 | Facility | None | $2,344.23 | $12,022.64 | $20,892.96 |
Health Alliance Plan Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $7,413.10 | Professional | None | $912.01 | $912.01 | $7,413.10 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 54 · Surgery only | $691.83 | $691.83 | $691.83 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $138.04 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $4,466.84 Typical High $18,197.01 | Facility | None | $1,047.13 | $4,466.84 | $18,197.01 |
Where Michigan sits
The same service costs 5754.4 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· 12th of 51
$14,125
OK $22,909ME $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.