How much rates vary
Facilitymedian $200 · 10th to 90th $145 to $589Professionalmedian $245 · 10th to 90th $148 to $302
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 $177.83 Median $181.97 Typical High $302.00 | Facility | None | $177.83 | $181.97 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $302.00 | Professional | None | $177.83 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $104.71 Typical High $151.36 | Professional | 52 · Reduced service | $89.13 | $104.71 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.90 Typical High $60.26 | Professional | 53 · Discontinued | $35.48 | $38.90 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $29.51 Typical High $44.67 | Professional | 55 · Aftercare only | $26.30 | $29.51 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $20.89 Typical High $30.20 | Professional | 56 · Pre-op care only | $17.78 | $20.89 | $30.20 |
BCBS Michigan Setting Facility Modifier None Typical Low $162.18 Median $204.17 Typical High $457.09 | Facility | None | $162.18 | $204.17 | $457.09 |
BCBS Michigan Setting Professional Modifier None Typical Low $38.90 Median $302.00 Typical High $426.58 | Professional | None | $38.90 | $302.00 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $190.55 Typical High $371.54 | Professional | None | $114.82 | $190.55 | $371.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $144.54 Median $181.97 Typical High $645.65 | Facility | None | $144.54 | $181.97 | $645.65 |
Health Alliance Plan Setting Professional Modifier None Typical Low $181.97 Median $281.84 Typical High $302.00 | Professional | None | $181.97 | $281.84 | $302.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $95.50 Typical High $144.54 | Professional | 52 · Reduced service | $87.10 | $95.50 | $144.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.02 Typical High $57.54 | Professional | 53 · Discontinued | $34.67 | $38.02 | $57.54 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $28.84 Typical High $43.65 | Professional | 55 · Aftercare only | $26.30 | $28.84 | $43.65 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $19.05 Typical High $28.84 | Professional | 56 · Pre-op care only | $17.38 | $19.05 | $28.84 |
Priority Health Setting Professional Modifier None Typical Low $114.82 Median $181.97 Typical High $309.03 | Professional | None | $114.82 | $181.97 | $309.03 |
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 $204.17 Typical High $269.15 | Professional | None | $154.88 | $204.17 | $269.15 |
Where Michigan sits
The same service costs 8.0 times more in New York 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
NY $2,495MD $313
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.