How much rates vary
Facilitymedian $95 · 10th to 90th $43 to $200Professionalmedian $34 · 10th to 90th $20 to $43
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 $38.02 Median $38.02 Typical High $39.81 | Facility | None | $38.02 | $38.02 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | None | $38.02 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $19.05 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.76 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | 54 · Surgery only | $28.84 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $6.03 Typical High $6.03 | Professional | 55 · Aftercare only | $5.75 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.98 Typical High $3.98 | Professional | 56 · Pre-op care only | $3.80 | $3.98 | $3.98 |
BCBS Michigan Setting Facility Modifier None Typical Low $51.29 Median $120.23 Typical High $223.87 | Facility | None | $51.29 | $120.23 | $223.87 |
BCBS Michigan Setting Professional Modifier None Typical Low $40.74 Median $42.66 Typical High $42.66 | Professional | None | $40.74 | $42.66 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $25.12 Typical High $25.12 | Professional | None | $17.78 | $25.12 | $25.12 |
Health Alliance Plan Setting Facility Modifier None Typical Low $32.36 Median $77.62 Typical High $85.11 | Facility | None | $32.36 | $77.62 | $85.11 |
Health Alliance Plan Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $38.90 | Professional | None | $28.84 | $32.36 | $38.90 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 54 · Surgery only | $24.55 | $24.55 | $24.55 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $4.90 | $4.90 | $4.90 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
Priority Health Setting Professional Modifier None Typical Low $17.78 Median $25.12 Typical High $25.12 | Professional | None | $17.78 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $15.14 Median $19.95 Typical High $24.55 | Professional | None | $15.14 | $19.95 | $24.55 |
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
$36.31
HI $46.77NY $16.98
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.