How much rates vary
Facilitymedian $1,622 · 10th to 90th $646 to $6,918Professionalmedian $269 · 10th to 90th $240 to $339
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 $257.04 Median $4,073.80 Typical High $5,754.40 | Facility | None | $257.04 | $4,073.80 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $275.42 | Professional | None | $239.88 | $257.04 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $128.82 Typical High $134.90 | Professional | 52 · Reduced service | $120.23 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $51.29 Typical High $54.95 | Professional | 53 · Discontinued | $47.86 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $194.98 Typical High $204.17 | Professional | 54 · Surgery only | $186.21 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $38.90 Typical High $40.74 | Professional | 55 · Aftercare only | $36.31 | $38.90 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $25.70 Typical High $27.54 | Professional | 56 · Pre-op care only | $23.99 | $25.70 | $27.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
BCBS Michigan Setting Professional Modifier None Typical Low $48.98 Median $275.42 Typical High $275.42 | Professional | None | $48.98 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $269.15 Typical High $616.60 | Professional | None | $144.54 | $269.15 | $616.60 |
Health Alliance Plan Setting Facility Modifier None Typical Low $616.60 Median $3,311.31 Typical High $4,897.79 | Facility | None | $616.60 | $3,311.31 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $346.74 | Professional | None | $239.88 | $263.03 | $346.74 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $125.89 | $131.83 | $131.83 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $51.29 | $52.48 | $52.48 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $199.53 Typical High $199.53 | Professional | 54 · Surgery only | $190.55 | $199.53 | $199.53 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $38.02 | $39.81 | $39.81 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $25.12 | $26.30 | $26.30 |
Priority Health Setting Professional Modifier None Typical Low $144.54 Median $269.15 Typical High $295.12 | Professional | None | $144.54 | $269.15 | $295.12 |
United Setting Facility Modifier None Typical Low $660.69 Median $1,548.82 Typical High $7,762.47 | Facility | None | $660.69 | $1,548.82 | $7,762.47 |
United Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $363.08 | Professional | None | $245.47 | $288.40 | $363.08 |
Where Michigan sits
The same service costs 6.9 times more in Tennessee than in New York. 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· 40th of 51
$275
TN $1,413NY $204
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.