How much rates vary
Facilitymedian $933 · 10th to 90th $200 to $2,188Professionalmedian $646 · 10th to 90th $158 to $977
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 $158.49 Median $707.95 Typical High $4,897.79 | Facility | None | $158.49 | $707.95 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $537.03 Typical High $741.31 | Professional | None | $158.49 | $537.03 | $741.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $269.15 Typical High $354.81 | Professional | 52 · Reduced service | $79.43 | $269.15 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $107.15 Typical High $141.25 | Professional | 53 · Discontinued | $31.62 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $426.58 Typical High $524.81 | Professional | 54 · Surgery only | $120.23 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $81.28 Typical High $104.71 | Professional | 55 · Aftercare only | $23.99 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $53.70 Typical High $70.79 | Professional | 56 · Pre-op care only | $15.85 | $53.70 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
BCBS Michigan Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,621.81 | Facility | None | $933.25 | $933.25 | $1,621.81 |
BCBS Michigan Setting Professional Modifier None Typical Low $36.31 Median $263.03 Typical High $275.42 | Professional | None | $36.31 | $263.03 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $251.19 Typical High $891.25 | Professional | None | $117.49 | $251.19 | $891.25 |
Health Alliance Plan Setting Facility Modifier None Typical Low $102.33 Median $741.31 Typical High $2,884.03 | Facility | None | $102.33 | $741.31 | $2,884.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $158.49 Median $758.58 Typical High $1,000.00 | Professional | None | $158.49 | $758.58 | $1,000.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $104.71 Typical High $363.08 | Professional | 52 · Reduced service | $79.43 | $104.71 | $363.08 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $83.18 Typical High $147.91 | Professional | 53 · Discontinued | $31.62 | $83.18 | $147.91 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $158.49 Typical High $549.54 | Professional | 54 · Surgery only | $120.23 | $158.49 | $549.54 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $31.62 Typical High $109.65 | Professional | 55 · Aftercare only | $23.99 | $31.62 | $109.65 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $20.89 Typical High $74.13 | Professional | 56 · Pre-op care only | $15.85 | $20.89 | $74.13 |
Priority Health Setting Professional Modifier None Typical Low $117.49 Median $346.74 Typical High $891.25 | Professional | None | $117.49 | $346.74 | $891.25 |
United Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $1,995.26 | Facility | None | $288.40 | $426.58 | $1,995.26 |
United Setting Professional Modifier None Typical Low $165.96 Median $537.03 Typical High $954.99 | Professional | None | $165.96 | $537.03 | $954.99 |
Where Michigan sits
The same service costs 5.6 times more in Hawaii than in Maryland. 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.
Physician feeFacility fee
HI $3,479MD $616
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.