How much rates vary
Facilitymedian $389 · 10th to 90th $269 to $1,622Professionalmedian $282 · 10th to 90th $186 to $447
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 $234.42 Median $363.08 Typical High $4,897.79 | Facility | None | $234.42 | $363.08 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $363.08 | Professional | None | $234.42 | $263.03 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $138.04 Typical High $181.97 | Professional | 52 · Reduced service | $117.49 | $138.04 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $54.95 Typical High $72.44 | Professional | 53 · Discontinued | $46.77 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $208.93 Typical High $275.42 | Professional | 54 · Surgery only | $177.83 | $208.93 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $41.69 Typical High $54.95 | Professional | 55 · Aftercare only | $35.48 | $41.69 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $27.54 Typical High $36.31 | Professional | 56 · Pre-op care only | $23.44 | $27.54 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $194.98 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $165.96 | $194.98 | $257.04 |
BCBS Michigan Setting Facility Modifier None Typical Low $269.15 Median $275.42 Typical High $478.63 | Facility | None | $269.15 | $275.42 | $478.63 |
BCBS Michigan Setting Professional Modifier None Typical Low $50.12 Median $251.19 Typical High $446.68 | Professional | None | $50.12 | $251.19 | $446.68 |
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 $154.88 Median $263.03 Typical High $436.52 | Professional | None | $154.88 | $263.03 | $436.52 |
Health Alliance Plan Setting Facility Modifier None Typical Low $275.42 Median $457.09 Typical High $2,884.03 | Facility | None | $275.42 | $457.09 | $2,884.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $380.19 | Professional | None | $239.88 | $316.23 | $380.19 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $131.83 Typical High $190.55 | Professional | 52 · Reduced service | $123.03 | $131.83 | $190.55 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $52.48 Typical High $75.86 | Professional | 53 · Discontinued | $48.98 | $52.48 | $75.86 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $199.53 Typical High $288.40 | Professional | 54 · Surgery only | $181.97 | $199.53 | $288.40 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $39.81 Typical High $57.54 | Professional | 55 · Aftercare only | $36.31 | $39.81 | $57.54 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $26.30 Typical High $38.02 | Professional | 56 · Pre-op care only | $24.55 | $26.30 | $38.02 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $186.21 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $169.82 | $186.21 | $269.15 |
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 $151.36 Median $245.47 Typical High $416.87 | Professional | None | $151.36 | $245.47 | $416.87 |
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 $263.03 Typical High $371.54 | Professional | None | $213.80 | $263.03 | $371.54 |
Where Michigan sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 28th of 51
$282
AK $794KY $178
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.