How much rates vary
Facilitymedian $245 · 10th to 90th $79 to $4,898Professionalmedian $204 · 10th to 90th $79 to $398
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 $194.98 Median $245.47 Typical High $4,897.79 | Facility | None | $194.98 | $245.47 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $208.93 | Professional | None | $194.98 | $194.98 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $104.71 | Professional | 52 · Reduced service | $97.72 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $41.69 | Professional | 53 · Discontinued | $38.90 | $38.90 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $147.91 Typical High $158.49 | Professional | 54 · Surgery only | $144.54 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $31.62 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $20.89 |
BCBS Michigan Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
BCBS Michigan Setting Professional Modifier None Typical Low $79.43 Median $398.11 Typical High $398.11 | Professional | None | $79.43 | $398.11 | $398.11 |
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 $194.98 Median $245.47 Typical High $6,918.31 | Facility | None | $194.98 | $245.47 | $6,918.31 |
Health Alliance Plan Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | None | $194.98 | $194.98 | $204.17 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | 52 · Reduced service | $97.72 | $97.72 | $102.33 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $41.69 | Professional | 53 · Discontinued | $38.90 | $38.90 | $41.69 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | 54 · Surgery only | $147.91 | $147.91 | $154.88 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $30.90 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $30.90 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $20.42 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $20.42 |
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 25.7 times more in Oklahoma than in Vermont. 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· 44th of 51
$204
OK $3,631VT $141
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.