How much rates vary
Facilitymedian $4,898 · 10th to 90th $1,047 to $10,715Professionalmedian $457 · 10th to 90th $275 to $10,000
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 $269.15 Median $870.96 Typical High $6,918.31 | Facility | None | $269.15 | $870.96 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $275.42 Typical High $346.74 | Professional | None | $269.15 | $275.42 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $138.04 Typical High $173.78 | Professional | 52 · Reduced service | $134.90 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $54.95 Typical High $69.18 | Professional | 53 · Discontinued | $53.70 | $54.95 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $208.93 Typical High $257.04 | Professional | 54 · Surgery only | $204.17 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $41.69 Typical High $52.48 | Professional | 55 · Aftercare only | $40.74 | $41.69 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $27.54 Typical High $34.67 | Professional | 56 · Pre-op care only | $26.92 | $27.54 | $34.67 |
BCBS Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
BCBS Setting Professional Modifier None Typical Low $9,549.93 Median $10,000.00 Typical High $10,000.00 | Professional | None | $9,549.93 | $10,000.00 | $10,000.00 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,023.29 Median $4,897.79 Typical High $7,585.78 | Facility | None | $1,023.29 | $4,897.79 | $7,585.78 |
Health Alliance Plan Setting Professional Modifier None Typical Low $331.13 Median $416.87 Typical High $575.44 | Professional | None | $331.13 | $416.87 | $575.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 54 · Surgery only | $251.19 | $251.19 | $251.19 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $50.12 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $4,466.84 Typical High $12,302.69 | Facility | None | $1,047.13 | $4,466.84 | $12,302.69 |
United Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $602.56 | Professional | None | $398.11 | $501.19 | $602.56 |
Where Michigan sits
The same service costs 15.8 times more in Arkansas 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· 45th of 51
$501
AR $6,918NY $437
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.