How much rates vary
Facilitymedian $191 · 10th to 90th $135 to $525Professionalmedian $186 · 10th to 90th $120 to $234
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 $186.21 Median $190.55 Typical High $190.55 | Facility | None | $186.21 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $190.55 | Professional | None | $186.21 | $186.21 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $95.50 | Professional | 52 · Reduced service | $93.33 | $93.33 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $38.02 | Professional | 53 · Discontinued | $37.15 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 54 · Surgery only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $19.05 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $19.05 |
BCBS Michigan Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
BCBS Michigan Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | None | $112.20 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $380.19 Typical High $380.19 | Professional | None | $125.89 | $380.19 | $380.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $134.90 Median $407.38 Typical High $537.03 | Facility | None | $134.90 | $407.38 | $537.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $181.97 Median $186.21 Typical High $239.88 | Professional | None | $181.97 | $186.21 | $239.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 54 · Surgery only | $141.25 | $141.25 | $141.25 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $28.18 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $18.62 |
Priority Health Setting Professional Modifier None Typical Low $125.89 Median $380.19 Typical High $380.19 | Professional | None | $125.89 | $380.19 | $380.19 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $134.90 | Professional | None | $125.89 | $125.89 | $134.90 |
Where Michigan sits
The same service costs 3.6 times more in Wyoming than in North Carolina. 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· 10th of 51
$186
WY $427NC $117
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.