How much rates vary
Facilitymedian $209 · 10th to 90th $141 to $1,380Professionalmedian $148 · 10th to 90th $93 to $200
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 $131.83 Median $186.21 Typical High $4,897.79 | Facility | None | $131.83 | $186.21 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $194.98 | Professional | None | $131.83 | $144.54 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $72.44 Typical High $97.72 | Professional | 52 · Reduced service | $66.07 | $72.44 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $38.90 | Professional | 53 · Discontinued | $26.30 | $28.84 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $109.65 Typical High $147.91 | Professional | 54 · Surgery only | $100.00 | $109.65 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $21.88 Typical High $29.51 | Professional | 55 · Aftercare only | $19.95 | $21.88 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $14.45 Typical High $19.50 | Professional | 56 · Pre-op care only | $13.18 | $14.45 | $19.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $102.33 Typical High $138.04 | Professional | 78 · Unplanned return to OR | $93.33 | $102.33 | $138.04 |
BCBS Michigan Setting Facility Modifier None Typical Low $141.25 Median $144.54 Typical High $251.19 | Facility | None | $141.25 | $144.54 | $251.19 |
BCBS Michigan Setting Professional Modifier None Typical Low $25.12 Median $141.25 Typical High $147.91 | Professional | None | $25.12 | $141.25 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $229.09 | Professional | None | $102.33 | $141.25 | $229.09 |
Health Alliance Plan Setting Facility Modifier None Typical Low $154.88 Median $190.55 Typical High $4,897.79 | Facility | None | $154.88 | $190.55 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $134.90 Median $173.78 Typical High $213.80 | Professional | None | $134.90 | $173.78 | $213.80 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $67.61 Typical High $97.72 | Professional | 52 · Reduced service | $64.57 | $67.61 | $97.72 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.92 Typical High $38.90 | Professional | 53 · Discontinued | $26.30 | $26.92 | $38.90 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $102.33 Typical High $147.91 | Professional | 54 · Surgery only | $97.72 | $102.33 | $147.91 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $20.42 Typical High $29.51 | Professional | 55 · Aftercare only | $19.50 | $20.42 | $29.51 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $13.49 Typical High $19.50 | Professional | 56 · Pre-op care only | $12.88 | $13.49 | $19.50 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $95.50 Typical High $138.04 | Professional | 78 · Unplanned return to OR | $91.20 | $95.50 | $138.04 |
Priority Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Priority Health Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $208.93 | Professional | None | $95.50 | $134.90 | $208.93 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,162.28 | Facility | None | $426.58 | $602.56 | $3,162.28 |
United Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $199.53 | Professional | None | $109.65 | $151.36 | $199.53 |
Where Michigan sits
The same service costs 4.4 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· 39th of 51
$151
AK $417KY $95.50
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.