How much rates vary
Facilitymedian $851 · 10th to 90th $89 to $1,514Professionalmedian $129 · 10th to 90th $58 to $214
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 $57.54 Median $190.55 Typical High $4,897.79 | Facility | None | $57.54 | $190.55 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $138.04 Typical High $190.55 | Professional | None | $57.54 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $70.79 Typical High $95.50 | Professional | 52 · Reduced service | $28.18 | $70.79 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $28.18 Typical High $38.02 | Professional | 53 · Discontinued | $11.48 | $28.18 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $107.15 Typical High $144.54 | Professional | 54 · Surgery only | $42.66 | $107.15 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $21.38 Typical High $28.84 | Professional | 55 · Aftercare only | $8.51 | $21.38 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $14.13 Typical High $19.05 | Professional | 56 · Pre-op care only | $5.75 | $14.13 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
BCBS Michigan Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $1,479.11 | Facility | None | $851.14 | $851.14 | $1,479.11 |
BCBS Michigan Setting Professional Modifier None Typical Low $60.26 Median $128.82 Typical High $128.82 | Professional | None | $60.26 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $123.03 Typical High $323.59 | Professional | None | $51.29 | $123.03 | $323.59 |
Health Alliance Plan Setting Facility Modifier None Typical Low $58.88 Median $275.42 Typical High $2,041.74 | Facility | None | $58.88 | $275.42 | $2,041.74 |
Health Alliance Plan Setting Professional Modifier None Typical Low $58.88 Median $190.55 Typical High $223.87 | Professional | None | $58.88 | $190.55 | $223.87 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $34.67 Typical High $97.72 | Professional | 52 · Reduced service | $29.51 | $34.67 | $97.72 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.80 Typical High $38.90 | Professional | 53 · Discontinued | $11.75 | $13.80 | $38.90 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $51.29 Typical High $147.91 | Professional | 54 · Surgery only | $43.65 | $51.29 | $147.91 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $10.23 Typical High $29.51 | Professional | 55 · Aftercare only | $8.71 | $10.23 | $29.51 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.92 Typical High $19.50 | Professional | 56 · Pre-op care only | $5.89 | $6.92 | $19.50 |
Priority Health Setting Professional Modifier None Typical Low $53.70 Median $117.49 Typical High $257.04 | Professional | None | $53.70 | $117.49 | $257.04 |
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 $57.54 Median $151.36 Typical High $234.42 | Professional | None | $57.54 | $151.36 | $234.42 |
Where Michigan sits
The same service costs 13.8 times more in Hawaii than in Louisiana. 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 $2,918LA $212
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.