How much rates vary
Facilitymedian $240 · 10th to 90th $145 to $871Professionalmedian $245 · 10th to 90th $120 to $347
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 $346.74 Typical High $4,897.79 | Facility | None | $158.49 | $346.74 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $338.84 | Professional | None | $158.49 | $218.78 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $128.82 Typical High $169.82 | Professional | 52 · Reduced service | $79.43 | $128.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $51.29 Typical High $67.61 | Professional | 53 · Discontinued | $31.62 | $51.29 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $194.98 Typical High $251.19 | Professional | 54 · Surgery only | $117.49 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $38.90 Typical High $51.29 | Professional | 55 · Aftercare only | $23.44 | $38.90 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $25.70 Typical High $33.88 | Professional | 56 · Pre-op care only | $15.85 | $25.70 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $181.97 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $109.65 | $181.97 | $234.42 |
BCBS Michigan Setting Facility Modifier None Typical Low $234.42 Median $239.88 Typical High $416.87 | Facility | None | $234.42 | $239.88 | $416.87 |
BCBS Michigan Setting Professional Modifier None Typical Low $34.67 Median $186.21 Typical High $257.04 | Professional | None | $34.67 | $186.21 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $199.53 Typical High $398.11 | Professional | None | $120.23 | $199.53 | $398.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $165.96 Median $346.74 Typical High $6,918.31 | Facility | None | $165.96 | $346.74 | $6,918.31 |
Health Alliance Plan Setting Professional Modifier None Typical Low $162.18 Median $302.00 Typical High $346.74 | Professional | None | $162.18 | $302.00 | $346.74 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $85.11 Typical High $173.78 | Professional | 52 · Reduced service | $77.62 | $85.11 | $173.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $33.88 Typical High $69.18 | Professional | 53 · Discontinued | $30.90 | $33.88 | $69.18 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $125.89 Typical High $263.03 | Professional | 54 · Surgery only | $117.49 | $125.89 | $263.03 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $25.12 Typical High $52.48 | Professional | 55 · Aftercare only | $23.44 | $25.12 | $52.48 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $16.98 Typical High $34.67 | Professional | 56 · Pre-op care only | $15.49 | $16.98 | $34.67 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $117.49 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $109.65 | $117.49 | $245.47 |
Priority Health Setting Professional Modifier None Typical Low $112.20 Median $186.21 Typical High $363.08 | Professional | None | $112.20 | $186.21 | $363.08 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,258.93 | Facility | None | $91.20 | $177.83 | $1,258.93 |
United Setting Professional Modifier None Typical Low $131.83 Median $218.78 Typical High $316.23 | Professional | None | $131.83 | $218.78 | $316.23 |
Where Michigan sits
The same service costs 3.9 times more in Alaska than in Kentucky. 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· 27th of 51
$245
AK $562KY $145
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.