How much rates vary
Facilitymedian $204 · 10th to 90th $162 to $4,898Professionalmedian $170 · 10th to 90th $68 to $339
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $162.18 Median $204.17 Typical High $4,897.79 | Facility | None | $162.18 | $204.17 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $173.78 | Professional | None | $162.18 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | 52 · Reduced service | $81.28 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.11 Typical High $34.67 | Professional | 53 · Discontinued | $32.36 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $123.03 Typical High $131.83 | Professional | 54 · Surgery only | $123.03 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $26.30 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $17.38 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $17.38 |
BCBS Michigan Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
BCBS Michigan Setting Professional Modifier None Typical Low $67.61 Median $338.84 Typical High $338.84 | Professional | None | $67.61 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $162.18 Median $204.17 Typical High $6,918.31 | Facility | None | $162.18 | $204.17 | $6,918.31 |
Health Alliance Plan Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $173.78 | Professional | None | $162.18 | $162.18 | $173.78 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $85.11 | Professional | 52 · Reduced service | $81.28 | $81.28 | $85.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $34.67 | Professional | 53 · Discontinued | $32.36 | $32.36 | $34.67 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $123.03 Typical High $128.82 | Professional | 54 · Surgery only | $123.03 | $123.03 | $128.82 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $25.70 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $25.70 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $17.38 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $17.38 |
Priority Health Setting Professional Modifier None Typical Low $295.12 Median $309.03 Typical High $309.03 | Professional | None | $295.12 | $309.03 | $309.03 |
Where Michigan sits
The same service costs 7.6 times more in Nebraska than in West Virginia. 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· 45th of 51
$170
NE $891WV $117
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.