How much rates vary
Facilitymedian $158 · 10th to 90th $120 to $661Professionalmedian $224 · 10th to 90th $141 to $316
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 $263.03 Typical High $4,897.79 | Facility | None | $158.49 | $263.03 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $194.98 Typical High $263.03 | Professional | None | $158.49 | $194.98 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $95.50 Typical High $131.83 | Professional | 52 · Reduced service | $79.43 | $95.50 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $38.02 Typical High $52.48 | Professional | 53 · Discontinued | $31.62 | $38.02 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $144.54 Typical High $199.53 | Professional | 54 · Surgery only | $117.49 | $144.54 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $28.84 Typical High $39.81 | Professional | 55 · Aftercare only | $23.44 | $28.84 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $19.05 Typical High $26.30 | Professional | 56 · Pre-op care only | $15.85 | $19.05 | $26.30 |
BCBS Michigan Setting Facility Modifier None Typical Low $131.83 Median $134.90 Typical High $229.09 | Facility | None | $131.83 | $134.90 | $229.09 |
BCBS Michigan Setting Professional Modifier None Typical Low $38.02 Median $190.55 Typical High $190.55 | Professional | None | $38.02 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $323.59 | Professional | None | $120.23 | $213.80 | $323.59 |
Health Alliance Plan Setting Facility Modifier None Typical Low $67.61 Median $263.03 Typical High $2,884.03 | Facility | None | $67.61 | $263.03 | $2,884.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $154.88 Median $257.04 Typical High $309.03 | Professional | None | $154.88 | $257.04 | $309.03 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $91.20 Typical High $128.82 | Professional | 52 · Reduced service | $77.62 | $91.20 | $128.82 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $36.31 Typical High $51.29 | Professional | 53 · Discontinued | $30.90 | $36.31 | $51.29 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $138.04 Typical High $194.98 | Professional | 54 · Surgery only | $114.82 | $138.04 | $194.98 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $27.54 Typical High $38.90 | Professional | 55 · Aftercare only | $22.91 | $27.54 | $38.90 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $18.20 Typical High $25.70 | Professional | 56 · Pre-op care only | $15.49 | $18.20 | $25.70 |
Priority Health Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Priority Health Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $323.59 | Professional | None | $120.23 | $213.80 | $323.59 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,202.26 | Facility | None | $91.20 | $177.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $154.88 Median $245.47 Typical High $338.84 | Professional | None | $154.88 | $245.47 | $338.84 |
Where Michigan sits
The same service costs 7.2 times more in New York than in Michigan. 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
NY $2,740MI $382
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.