How much rates vary
Facilitymedian $933 · 10th to 90th $479 to $2,570Professionalmedian $324 · 10th to 90th $214 to $457
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 $223.87 Median $389.05 Typical High $4,897.79 | Facility | None | $223.87 | $389.05 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $288.40 Typical High $380.19 | Professional | None | $223.87 | $288.40 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $141.25 Typical High $190.55 | Professional | 52 · Reduced service | $112.20 | $141.25 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $56.23 Typical High $75.86 | Professional | 53 · Discontinued | $44.67 | $56.23 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $213.80 Typical High $281.84 | Professional | 54 · Surgery only | $169.82 | $213.80 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $42.66 Typical High $57.54 | Professional | 55 · Aftercare only | $33.88 | $42.66 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $28.18 Typical High $38.02 | Professional | 56 · Pre-op care only | $22.39 | $28.18 | $38.02 |
BCBS Michigan Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,621.81 | Facility | None | $933.25 | $933.25 | $1,621.81 |
BCBS Michigan Setting Professional Modifier None Typical Low $48.98 Median $245.47 Typical High $363.08 | Professional | None | $48.98 | $245.47 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $257.04 Typical High $489.78 | Professional | None | $169.82 | $257.04 | $489.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $363.08 Median $588.84 Typical High $4,073.80 | Facility | None | $363.08 | $588.84 | $4,073.80 |
Health Alliance Plan Setting Professional Modifier None Typical Low $229.09 Median $371.54 Typical High $501.19 | Professional | None | $229.09 | $371.54 | $501.19 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $120.23 Typical High $190.55 | Professional | 52 · Reduced service | $109.65 | $120.23 | $190.55 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $48.98 Typical High $75.86 | Professional | 53 · Discontinued | $43.65 | $48.98 | $75.86 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $181.97 Typical High $281.84 | Professional | 54 · Surgery only | $165.96 | $181.97 | $281.84 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $36.31 Typical High $56.23 | Professional | 55 · Aftercare only | $33.11 | $36.31 | $56.23 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $23.99 Typical High $38.02 | Professional | 56 · Pre-op care only | $21.88 | $23.99 | $38.02 |
Priority Health Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Priority Health Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $467.74 | Professional | None | $162.18 | $245.47 | $467.74 |
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 $213.80 Median $323.59 Typical High $446.68 | Professional | None | $213.80 | $323.59 | $446.68 |
Where Michigan sits
The same service costs 7.0 times more in Vermont than in North Dakota. 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
VT $4,790ND $687
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.