How much rates vary
Facilitymedian $74 · 10th to 90th $33 to $155Professionalmedian $30 · 10th to 90th $16 to $33
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 $30.20 Median $30.20 Typical High $30.90 | Facility | None | $30.20 | $30.20 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $30.90 | Professional | None | $28.18 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $14.79 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $6.03 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | 54 · Surgery only | $22.39 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.68 Typical High $4.68 | Professional | 55 · Aftercare only | $4.47 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.09 Typical High $3.09 | Professional | 56 · Pre-op care only | $3.02 | $3.09 | $3.09 |
BCBS Michigan Setting Facility Modifier None Typical Low $39.81 Median $93.33 Typical High $177.83 | Facility | None | $39.81 | $93.33 | $177.83 |
BCBS Michigan Setting Professional Modifier None Typical Low $31.62 Median $33.11 Typical High $33.11 | Professional | None | $31.62 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $19.50 | Professional | None | $13.80 | $19.50 | $19.50 |
Health Alliance Plan Setting Facility Modifier None Typical Low $25.12 Median $61.66 Typical High $66.07 | Facility | None | $25.12 | $61.66 | $66.07 |
Health Alliance Plan Setting Professional Modifier None Typical Low $22.39 Median $25.12 Typical High $33.11 | Professional | None | $22.39 | $25.12 | $33.11 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 54 · Surgery only | $19.05 | $19.05 | $19.05 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | 55 · Aftercare only | $3.80 | $3.80 | $3.80 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 56 · Pre-op care only | $2.51 | $2.51 | $2.51 |
Priority Health Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $19.50 | Professional | None | $13.80 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $11.75 Median $15.49 Typical High $19.05 | Professional | None | $11.75 | $15.49 | $19.05 |
Where Michigan sits
The same service costs 2.6 times more in Hawaii than in New York. 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· 13th of 51
$29.51
HI $35.48NY $13.49
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.