How much rates vary
Facilitymedian $1,738 · 10th to 90th $646 to $3,715Professionalmedian $490 · 10th to 90th $316 to $646
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 $467.74 Median $660.69 Typical High $4,897.79 | Facility | None | $467.74 | $660.69 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $501.19 Typical High $645.65 | Professional | None | $467.74 | $501.19 | $645.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $251.19 Typical High $323.59 | Professional | 52 · Reduced service | $234.42 | $251.19 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $100.00 Typical High $128.82 | Professional | 53 · Discontinued | $93.33 | $100.00 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $380.19 Typical High $478.63 | Professional | 54 · Surgery only | $354.81 | $380.19 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $75.86 Typical High $95.50 | Professional | 55 · Aftercare only | $70.79 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $50.12 Typical High $64.57 | Professional | 56 · Pre-op care only | $46.77 | $50.12 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $354.81 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $331.13 | $354.81 | $446.68 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,737.80 Median $1,778.28 Typical High $3,090.30 | Facility | None | $1,737.80 | $1,778.28 | $3,090.30 |
BCBS Michigan Setting Professional Modifier None Typical Low $102.33 Median $316.23 Typical High $512.86 | Professional | None | $102.33 | $316.23 | $512.86 |
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 $338.84 Median $489.78 Typical High $741.31 | Professional | None | $338.84 | $489.78 | $741.31 |
Health Alliance Plan Setting Facility Modifier None Typical Low $630.96 Median $1,412.54 Typical High $4,897.79 | Facility | None | $630.96 | $1,412.54 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $446.68 Median $562.34 Typical High $645.65 | Professional | None | $446.68 | $562.34 | $645.65 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $245.47 Typical High $323.59 | Professional | 52 · Reduced service | $234.42 | $245.47 | $323.59 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $97.72 Typical High $128.82 | Professional | 53 · Discontinued | $93.33 | $97.72 | $128.82 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $363.08 Typical High $489.78 | Professional | 54 · Surgery only | $354.81 | $363.08 | $489.78 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $72.44 Typical High $97.72 | Professional | 55 · Aftercare only | $70.79 | $72.44 | $97.72 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $48.98 Typical High $64.57 | Professional | 56 · Pre-op care only | $46.77 | $48.98 | $64.57 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $338.84 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $331.13 | $338.84 | $457.09 |
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 $338.84 Median $467.74 Typical High $741.31 | Professional | None | $338.84 | $467.74 | $741.31 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $5,248.07 | Facility | None | $602.56 | $1,230.27 | $5,248.07 |
United Setting Professional Modifier None Typical Low $380.19 Median $478.63 Typical High $660.69 | Professional | None | $380.19 | $478.63 | $660.69 |
Where Michigan sits
The same service costs 4.2 times more in Oklahoma than in Montana. 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
OK $5,214MT $1,234
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.