How much rates vary
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 $114.82 Median $4,073.80 Typical High $5,754.40 | Facility | None | $114.82 | $4,073.80 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $147.91 | Professional | None | $114.82 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $29.51 | Professional | 53 · Discontinued | $22.91 | $22.91 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $85.11 Typical High $109.65 | Professional | 54 · Surgery only | $85.11 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $17.38 Typical High $21.88 | Professional | 55 · Aftercare only | $16.98 | $17.38 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $14.79 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $199.53 | Professional | None | $181.97 | $181.97 | $199.53 |
Health Alliance Plan Setting Facility Modifier None Typical Low $426.58 Median $1,174.90 Typical High $4,897.79 | Facility | None | $426.58 | $1,174.90 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $169.82 Median $416.87 Typical High $537.03 | Professional | None | $169.82 | $416.87 | $537.03 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 54 · Surgery only | $125.89 | $125.89 | $125.89 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $25.12 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $16.98 |
Priority Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
United Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $1,258.93 | Facility | None | $89.13 | $177.83 | $1,258.93 |
United Setting Professional Modifier None Typical Low $223.87 Median $416.87 Typical High $489.78 | Professional | None | $223.87 | $416.87 | $489.78 |
Where Michigan sits
The same service costs 18.6 times more in Texas 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· 9th of 51
$398
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.