How much rates vary
Facilitymedian $589 · 10th to 90th $427 to $4,786Professionalmedian $363 · 10th to 90th $245 to $468
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 $239.88 Median $309.03 Typical High $6,918.31 | Facility | None | $239.88 | $309.03 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $245.47 Typical High $309.03 | Professional | None | $239.88 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $123.03 Typical High $151.36 | Professional | 52 · Reduced service | $120.23 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $48.98 Typical High $61.66 | Professional | 53 · Discontinued | $47.86 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $181.97 Typical High $229.09 | Professional | 54 · Surgery only | $177.83 | $181.97 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $36.31 Typical High $45.71 | Professional | 55 · Aftercare only | $35.48 | $36.31 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $24.55 Typical High $30.90 | Professional | 56 · Pre-op care only | $23.99 | $24.55 | $30.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $316.23 Median $1,023.29 Typical High $4,897.79 | Facility | None | $316.23 | $1,023.29 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $467.74 | Professional | None | $316.23 | $346.74 | $467.74 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 54 · Surgery only | $239.88 | $239.88 | $239.88 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $47.86 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $31.62 |
United Setting Facility Modifier None Typical Low $426.58 Median $549.54 Typical High $3,311.31 | Facility | None | $426.58 | $549.54 | $3,311.31 |
United Setting Professional Modifier None Typical Low $371.54 Median $416.87 Typical High $549.54 | Professional | None | $371.54 | $416.87 | $549.54 |
Where Michigan sits
The same service costs 6.3 times more in Texas than in Pennsylvania. 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· 41st of 51
$380
TX $1,995PA $316
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.