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 $173.78 Median $302.00 Typical High $4,897.79 | Facility | None | $173.78 | $302.00 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $288.40 Typical High $302.00 | Professional | None | $173.78 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $144.54 Typical High $147.91 | Professional | 52 · Reduced service | $87.10 | $144.54 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $57.54 Typical High $60.26 | Professional | 53 · Discontinued | $34.67 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $218.78 Typical High $223.87 | Professional | 54 · Surgery only | $128.82 | $218.78 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $43.65 Typical High $44.67 | Professional | 55 · Aftercare only | $26.30 | $43.65 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $28.84 Typical High $30.20 | Professional | 56 · Pre-op care only | $17.38 | $28.84 | $30.20 |
BCBS Michigan Setting Facility Modifier None Typical Low $316.23 Median $323.59 Typical High $549.54 | Facility | None | $316.23 | $323.59 | $549.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $41.69 Median $158.49 Typical High $245.47 | Professional | None | $41.69 | $158.49 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $295.12 | Professional | None | $288.40 | $288.40 | $295.12 |
Health Alliance Plan Setting Facility Modifier None Typical Low $371.54 Median $1,318.26 Typical High $4,897.79 | Facility | None | $371.54 | $1,318.26 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $181.97 Median $380.19 Typical High $602.56 | Professional | None | $181.97 | $380.19 | $602.56 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $114.82 Typical High $190.55 | Professional | 52 · Reduced service | $89.13 | $114.82 | $190.55 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $45.71 Typical High $75.86 | Professional | 53 · Discontinued | $36.31 | $45.71 | $75.86 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $169.82 Typical High $281.84 | Professional | 54 · Surgery only | $134.90 | $169.82 | $281.84 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $33.88 Typical High $56.23 | Professional | 55 · Aftercare only | $26.92 | $33.88 | $56.23 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $22.91 Typical High $38.02 | Professional | 56 · Pre-op care only | $18.20 | $22.91 | $38.02 |
Priority Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $295.12 | Professional | None | $288.40 | $288.40 | $295.12 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,258.93 | Facility | None | $91.20 | $177.83 | $1,258.93 |
United Setting Professional Modifier None Typical Low $234.42 Median $457.09 Typical High $645.65 | Professional | None | $234.42 | $457.09 | $645.65 |
Where Michigan sits
The same service costs 2.8 times more in Wisconsin than in Utah. 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· 46th of 51
$302
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.