How much rates vary
Facilitymedian $174 · 10th to 90th $107 to $832Professionalmedian $282 · 10th to 90th $151 to $479
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 $173.78 Median $501.19 Typical High $4,897.79 | Facility | None | $173.78 | $501.19 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $354.81 Typical High $489.78 | Professional | None | $173.78 | $354.81 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $165.96 Typical High $245.47 | Professional | 52 · Reduced service | $87.10 | $165.96 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $66.07 Typical High $97.72 | Professional | 53 · Discontinued | $34.67 | $66.07 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $245.47 Typical High $363.08 | Professional | 54 · Surgery only | $128.82 | $245.47 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $50.12 Typical High $72.44 | Professional | 55 · Aftercare only | $25.70 | $50.12 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $33.11 Typical High $48.98 | Professional | 56 · Pre-op care only | $17.38 | $33.11 | $48.98 |
BCBS Michigan Setting Facility Modifier None Typical Low $151.36 Median $154.88 Typical High $269.15 | Facility | None | $151.36 | $154.88 | $269.15 |
BCBS Michigan Setting Professional Modifier None Typical Low $50.12 Median $186.21 Typical High $281.84 | Professional | None | $50.12 | $186.21 | $281.84 |
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 $123.03 Median $257.04 Typical High $512.86 | Professional | None | $123.03 | $257.04 | $512.86 |
Health Alliance Plan Setting Facility Modifier None Typical Low $60.26 Median $707.95 Typical High $4,897.79 | Facility | None | $60.26 | $707.95 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $177.83 Median $363.08 Typical High $478.63 | Professional | None | $177.83 | $363.08 | $478.63 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $100.00 Typical High $239.88 | Professional | 52 · Reduced service | $85.11 | $100.00 | $239.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $39.81 Typical High $95.50 | Professional | 53 · Discontinued | $34.67 | $39.81 | $95.50 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $147.91 Typical High $363.08 | Professional | 54 · Surgery only | $128.82 | $147.91 | $363.08 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $30.20 Typical High $72.44 | Professional | 55 · Aftercare only | $25.70 | $30.20 | $72.44 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $19.95 Typical High $47.86 | Professional | 56 · Pre-op care only | $16.98 | $19.95 | $47.86 |
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 $117.49 Median $186.21 Typical High $512.86 | Professional | None | $117.49 | $186.21 | $512.86 |
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 $269.15 Typical High $436.52 | Professional | None | $154.88 | $269.15 | $436.52 |
Where Michigan sits
The same service costs 6.9 times more in New York than in Alabama. 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 $2,939AL $425
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.