How much rates vary
Facilitymedian $195 · 10th to 90th $135 to $1,905Professionalmedian $158 · 10th to 90th $117 to $209
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 $138.04 Median $177.83 Typical High $4,897.79 | Facility | None | $138.04 | $177.83 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $144.54 Typical High $177.83 | Professional | None | $138.04 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $89.13 | Professional | 52 · Reduced service | $69.18 | $69.18 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $36.31 | Professional | 53 · Discontinued | $27.54 | $28.18 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | 54 · Surgery only | $104.71 | $104.71 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $26.92 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $17.78 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $17.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $97.72 Typical High $125.89 | Professional | 78 · Unplanned return to OR | $97.72 | $97.72 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $134.90 Median $138.04 Typical High $234.42 | Facility | None | $134.90 | $138.04 | $234.42 |
BCBS Michigan Setting Professional Modifier None Typical Low $97.72 Median $147.91 Typical High $158.49 | Professional | None | $97.72 | $147.91 | $158.49 |
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 $107.15 Median $154.88 Typical High $245.47 | Professional | None | $107.15 | $154.88 | $245.47 |
Health Alliance Plan Setting Facility Modifier None Typical Low $138.04 Median $181.97 Typical High $4,897.79 | Facility | None | $138.04 | $181.97 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $138.04 Median $177.83 Typical High $204.17 | Professional | None | $138.04 | $177.83 | $204.17 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $91.20 | Professional | 52 · Reduced service | $69.18 | $69.18 | $91.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $37.15 | Professional | 53 · Discontinued | $27.54 | $27.54 | $37.15 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $104.71 Typical High $138.04 | Professional | 54 · Surgery only | $104.71 | $104.71 | $138.04 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $27.54 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $27.54 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $18.20 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $18.20 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $97.72 Typical High $128.82 | Professional | 78 · Unplanned return to OR | $97.72 | $97.72 | $128.82 |
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 $102.33 Median $147.91 Typical High $229.09 | Professional | None | $102.33 | $147.91 | $229.09 |
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 $134.90 Median $169.82 Typical High $218.78 | Professional | None | $134.90 | $169.82 | $218.78 |
Where Michigan sits
The same service costs 4.0 times more in Alaska than in New Jersey. 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· 29th of 51
$158
AK $437NJ $110
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.