How much rates vary
Facilitymedian $691,831 · 10th to 90th $144,544 to $1,819,701Professionalmedian $575,440 · 10th to 90th $549,541 to $758,578
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 $602,559.59 Median $1,621,810.10 Typical High $1,819,700.86 | Facility | None | $602,559.59 | $1,621,810.10 | $1,819,700.86 |
Aetna Setting Professional Modifier None Typical Low $602,559.59 Median $602,559.59 Typical High $602,559.59 | Professional | None | $602,559.59 | $602,559.59 | $602,559.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295,120.92 Median $295,120.92 Typical High $295,120.92 | Professional | 52 · Reduced service | $295,120.92 | $295,120.92 | $295,120.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120,226.44 Median $120,226.44 Typical High $120,226.44 | Professional | 53 · Discontinued | $120,226.44 | $120,226.44 | $120,226.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89,125.09 Median $89,125.09 Typical High $89,125.09 | Professional | 55 · Aftercare only | $89,125.09 | $89,125.09 | $89,125.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60,255.96 Median $60,255.96 Typical High $60,255.96 | Professional | 56 · Pre-op care only | $60,255.96 | $60,255.96 | $60,255.96 |
BCBS Michigan Setting Facility Modifier None Typical Low $120,226.44 Median $616,595.00 Typical High $1,949,844.60 | Facility | None | $120,226.44 | $616,595.00 | $1,949,844.60 |
BCBS Michigan Setting Professional Modifier None Typical Low $524,807.46 Median $549,540.87 Typical High $549,540.87 | Professional | None | $524,807.46 | $549,540.87 | $549,540.87 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $489,778.82 Median $512,861.38 Typical High $512,861.38 | Professional | JW · Drug discarded | $489,778.82 | $512,861.38 | $512,861.38 |
Cigna Setting Professional Modifier None Typical Low $549,540.87 Median $602,559.59 Typical High $912,010.84 | Professional | None | $549,540.87 | $602,559.59 | $912,010.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $630,957.34 Median $1,548,816.62 Typical High $1,819,700.86 | Facility | None | $630,957.34 | $1,548,816.62 | $1,819,700.86 |
Health Alliance Plan Setting Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $776,247.12 | Professional | None | $575,439.94 | $575,439.94 | $776,247.12 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $288,403.15 Typical High $288,403.15 | Professional | 52 · Reduced service | $288,403.15 | $288,403.15 | $288,403.15 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $114,815.36 Typical High $114,815.36 | Professional | 53 · Discontinued | $114,815.36 | $114,815.36 | $114,815.36 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $87,096.36 Typical High $87,096.36 | Professional | 55 · Aftercare only | $87,096.36 | $87,096.36 | $87,096.36 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $57,543.99 Typical High $57,543.99 | Professional | 56 · Pre-op care only | $57,543.99 | $57,543.99 | $57,543.99 |
Priority Health Setting Professional Modifier None Typical Low $549,540.87 Median $549,540.87 Typical High $912,010.84 | Professional | None | $549,540.87 | $549,540.87 | $912,010.84 |
United Setting Facility Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Facility | None | $575,439.94 | $575,439.94 | $575,439.94 |
United Setting Professional Modifier None Typical Low $562,341.33 Median $660,693.45 Typical High $660,693.45 | Professional | None | $562,341.33 | $660,693.45 | $660,693.45 |
Where Michigan sits
The same service costs 1.7 times more in Texas than in Minnesota. 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· 37th of 51
$575,440
TX $977,237MN $562,341
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.