How much rates vary
Facilitymedian $549,541 · 10th to 90th $31,623 to $1,584,893Professionalmedian $512,861 · 10th to 90th $501,187 to $660,693
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 $524,807.46 Median $1,412,537.54 Typical High $1,584,893.19 | Facility | None | $524,807.46 | $1,412,537.54 | $1,584,893.19 |
Aetna Setting Professional Modifier None Typical Low $524,807.46 Median $524,807.46 Typical High $524,807.46 | Professional | None | $524,807.46 | $524,807.46 | $524,807.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263,026.80 Median $263,026.80 Typical High $263,026.80 | Professional | 52 · Reduced service | $263,026.80 | $263,026.80 | $263,026.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104,712.85 Median $104,712.85 Typical High $104,712.85 | Professional | 53 · Discontinued | $104,712.85 | $104,712.85 | $104,712.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79,432.82 Median $79,432.82 Typical High $79,432.82 | Professional | 55 · Aftercare only | $79,432.82 | $79,432.82 | $79,432.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52,480.75 Median $52,480.75 Typical High $52,480.75 | Professional | 56 · Pre-op care only | $52,480.75 | $52,480.75 | $52,480.75 |
BCBS Michigan Setting Facility Modifier None Typical Low $26,302.68 Median $218,776.16 Typical High $1,737,800.83 | Facility | None | $26,302.68 | $218,776.16 | $1,737,800.83 |
BCBS Michigan Setting Professional Modifier None Typical Low $467,735.14 Median $501,187.23 Typical High $501,187.23 | Professional | None | $467,735.14 | $501,187.23 | $501,187.23 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $446,683.59 Median $467,735.14 Typical High $467,735.14 | Professional | JW · Drug discarded | $446,683.59 | $467,735.14 | $467,735.14 |
Cigna Setting Professional Modifier None Typical Low $489,778.82 Median $537,031.80 Typical High $794,328.23 | Professional | None | $489,778.82 | $537,031.80 | $794,328.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $549,540.87 Median $1,380,384.26 Typical High $1,584,893.19 | Facility | None | $549,540.87 | $1,380,384.26 | $1,584,893.19 |
Health Alliance Plan Setting Professional Modifier None Typical Low $501,187.23 Median $512,861.38 Typical High $676,082.98 | Professional | None | $501,187.23 | $512,861.38 | $676,082.98 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $251,188.64 Median $251,188.64 Typical High $251,188.64 | Professional | 52 · Reduced service | $251,188.64 | $251,188.64 | $251,188.64 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $100,000.00 Median $100,000.00 Typical High $100,000.00 | Professional | 53 · Discontinued | $100,000.00 | $100,000.00 | $100,000.00 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $75,857.76 Typical High $75,857.76 | Professional | 55 · Aftercare only | $75,857.76 | $75,857.76 | $75,857.76 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $50,118.72 Median $50,118.72 Typical High $50,118.72 | Professional | 56 · Pre-op care only | $50,118.72 | $50,118.72 | $50,118.72 |
Priority Health Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $794,328.23 | Professional | None | $489,778.82 | $489,778.82 | $794,328.23 |
United Setting Facility Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Facility | None | $512,861.38 | $512,861.38 | $512,861.38 |
United Setting Professional Modifier None Typical Low $489,778.82 Median $575,439.94 Typical High $575,439.94 | Professional | None | $489,778.82 | $575,439.94 | $575,439.94 |
Where Michigan sits
The same service costs 2.0 times more in Texas than in New Jersey. 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· 32nd of 51
$512,861
TX $1,000,000NJ $489,779
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.