How much rates vary
Facilitymedian $2,692 · 10th to 90th $126 to $4,266Professionalmedian $537 · 10th to 90th $174 to $977
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 $204.17 Median $758.58 Typical High $4,897.79 | Facility | None | $204.17 | $758.58 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $588.84 Typical High $776.25 | Professional | None | $158.49 | $588.84 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $302.00 Typical High $389.05 | Professional | 52 · Reduced service | $100.00 | $302.00 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $123.03 Typical High $154.88 | Professional | 53 · Discontinued | $40.74 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $457.09 Typical High $575.44 | Professional | 54 · Surgery only | $151.36 | $457.09 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $91.20 Typical High $114.82 | Professional | 55 · Aftercare only | $30.20 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $60.26 Typical High $77.62 | Professional | 56 · Pre-op care only | $20.42 | $60.26 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $4,677.35 | Facility | None | $2,691.53 | $2,691.53 | $4,677.35 |
BCBS Michigan Setting Professional Modifier None Typical Low $186.21 Median $398.11 Typical High $954.99 | Professional | None | $186.21 | $398.11 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $263.03 Typical High $977.24 | Professional | None | $131.83 | $263.03 | $977.24 |
Health Alliance Plan Setting Facility Modifier None Typical Low $218.78 Median $1,862.09 Typical High $4,897.79 | Facility | None | $218.78 | $1,862.09 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $194.98 Median $691.83 Typical High $933.25 | Professional | None | $194.98 | $691.83 | $933.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $100.00 Typical High $389.05 | Professional | 52 · Reduced service | $95.50 | $100.00 | $389.05 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $39.81 Typical High $158.49 | Professional | 53 · Discontinued | $38.90 | $39.81 | $158.49 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $151.36 Typical High $588.84 | Professional | 54 · Surgery only | $144.54 | $151.36 | $588.84 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $30.20 Typical High $117.49 | Professional | 55 · Aftercare only | $28.84 | $30.20 | $117.49 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.95 Typical High $77.62 | Professional | 56 · Pre-op care only | $19.50 | $19.95 | $77.62 |
Priority Health Setting Professional Modifier None Typical Low $109.65 Median $263.03 Typical High $954.99 | Professional | None | $109.65 | $263.03 | $954.99 |
United Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $1,258.93 | Facility | None | $89.13 | $177.83 | $1,258.93 |
United Setting Professional Modifier None Typical Low $169.82 Median $602.56 Typical High $1,174.90 | Professional | None | $169.82 | $602.56 | $1,174.90 |
Where Michigan sits
The same service costs 17.4 times more in Alabama 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
AL $9,157MT $526
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.