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 $6,165.95 Median $6,165.95 Typical High $10,715.19 | Facility | None | $6,165.95 | $6,165.95 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $10,715.19 | Professional | None | $6,165.95 | $6,165.95 | $10,715.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3,090.30 Median $3,090.30 Typical High $5,370.32 | Professional | 52 · Reduced service | $3,090.30 | $3,090.30 | $5,370.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,230.27 Median $1,230.27 Typical High $2,137.96 | Professional | 53 · Discontinued | $1,230.27 | $1,230.27 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $933.25 Median $933.25 Typical High $1,621.81 | Professional | 55 · Aftercare only | $933.25 | $933.25 | $1,621.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $616.60 Median $616.60 Typical High $1,071.52 | Professional | 56 · Pre-op care only | $616.60 | $616.60 | $1,071.52 |
BCBS Setting Facility Modifier None Typical Low $13,182.57 Median $31,622.78 Typical High $60,255.96 | Facility | None | $13,182.57 | $31,622.78 | $60,255.96 |
BCBS Setting Professional Modifier None Typical Low $10,232.93 Median $10,715.19 Typical High $10,715.19 | Professional | None | $10,232.93 | $10,715.19 | $10,715.19 |
CareSource Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Facility | None | $7,079.46 | $7,079.46 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $7,244.36 Typical High $11,481.54 | Professional | None | $5,248.07 | $7,244.36 | $11,481.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $6,165.95 Median $20,892.96 Typical High $22,908.68 | Facility | None | $6,165.95 | $20,892.96 | $22,908.68 |
Health Alliance Plan Setting Professional Modifier None Typical Low $6,165.95 Median $8,511.38 Typical High $10,964.78 | Professional | None | $6,165.95 | $8,511.38 | $10,964.78 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | 52 · Reduced service | $3,090.30 | $3,090.30 | $3,090.30 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 53 · Discontinued | $1,230.27 | $1,230.27 | $1,230.27 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 55 · Aftercare only | $933.25 | $933.25 | $933.25 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 56 · Pre-op care only | $616.60 | $616.60 | $616.60 |
Priority Health Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
Priority Health Setting Professional Modifier None Typical Low $5,248.07 Median $7,244.36 Typical High $10,232.93 | Professional | None | $5,248.07 | $7,244.36 | $10,232.93 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $12,589.25 | Facility | None | $4,365.16 | $5,128.61 | $12,589.25 |
United Setting Professional Modifier None Typical Low $3,801.89 Median $5,128.61 Typical High $7,244.36 | Professional | None | $3,801.89 | $5,128.61 | $7,244.36 |
Where Michigan sits
The same service costs 2.1 times more in Hawaii than in Colorado. 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· 14th of 51
$8,511
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.