How much rates vary
Facilitymedian $331 · 10th to 90th $148 to $676Professionalmedian $117 · 10th to 90th $71 to $148
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 $131.83 Median $131.83 Typical High $138.04 | Facility | None | $131.83 | $131.83 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $138.04 Typical High $138.04 | Professional | None | $131.83 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $66.07 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $26.30 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | 54 · Surgery only | $100.00 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $19.95 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.80 Typical High $13.80 | Professional | 56 · Pre-op care only | $13.18 | $13.80 | $13.80 |
BCBS Michigan Setting Facility Modifier None Typical Low $177.83 Median $416.87 Typical High $776.25 | Facility | None | $177.83 | $416.87 | $776.25 |
BCBS Michigan Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $147.91 | Professional | None | $141.25 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $87.10 | Professional | None | $61.66 | $87.10 | $87.10 |
Health Alliance Plan Setting Facility Modifier None Typical Low $112.20 Median $269.15 Typical High $295.12 | Facility | None | $112.20 | $269.15 | $295.12 |
Health Alliance Plan Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $134.90 | Professional | None | $100.00 | $112.20 | $134.90 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 54 · Surgery only | $85.11 | $85.11 | $85.11 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $16.98 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $11.22 |
Priority Health Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $87.10 | Professional | None | $61.66 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $85.11 | Professional | None | $52.48 | $69.18 | $85.11 |
Where Michigan sits
The same service costs 2.8 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
$126
HI $162NY $58.88
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.