How much rates vary
Facilitymedian $155 · 10th to 90th $126 to $741Professionalmedian $158 · 10th to 90th $95 to $224
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 $218.78 Typical High $4,897.79 | Facility | None | $138.04 | $218.78 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $218.78 | Professional | None | $134.90 | $162.18 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $81.28 Typical High $107.15 | Professional | 52 · Reduced service | $67.61 | $81.28 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $32.36 Typical High $43.65 | Professional | 53 · Discontinued | $26.92 | $32.36 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $123.03 Typical High $162.18 | Professional | 54 · Surgery only | $102.33 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $24.55 Typical High $32.36 | Professional | 55 · Aftercare only | $20.42 | $24.55 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $16.22 Typical High $21.88 | Professional | 56 · Pre-op care only | $13.49 | $16.22 | $21.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $114.82 Typical High $151.36 | Professional | 78 · Unplanned return to OR | $95.50 | $114.82 | $151.36 |
BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $245.47 | Facility | None | $141.25 | $141.25 | $245.47 |
BCBS Setting Professional Modifier None Typical Low $25.70 Median $95.50 Typical High $151.36 | Professional | None | $25.70 | $95.50 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $158.49 Typical High $269.15 | Professional | None | $104.71 | $158.49 | $269.15 |
Health Alliance Plan Setting Facility Modifier None Typical Low $141.25 Median $416.87 Typical High $4,897.79 | Facility | None | $141.25 | $416.87 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $223.87 | Professional | None | $138.04 | $199.53 | $223.87 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $75.86 Typical High $112.20 | Professional | 52 · Reduced service | $69.18 | $75.86 | $112.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.90 Typical High $44.67 | Professional | 53 · Discontinued | $27.54 | $30.90 | $44.67 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $114.82 Typical High $165.96 | Professional | 54 · Surgery only | $104.71 | $114.82 | $165.96 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $22.91 Typical High $33.11 | Professional | 55 · Aftercare only | $20.89 | $22.91 | $33.11 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $15.49 Typical High $22.39 | Professional | 56 · Pre-op care only | $13.80 | $15.49 | $22.39 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $107.15 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $97.72 | $107.15 | $154.88 |
Priority Health Setting Professional Modifier None Typical Low $102.33 Median $151.36 Typical High $239.88 | Professional | None | $102.33 | $151.36 | $239.88 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,258.93 | Facility | None | $91.20 | $177.83 | $1,258.93 |
United Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $245.47 | Professional | None | $134.90 | $177.83 | $245.47 |
Where Michigan sits
The same service costs 3.5 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· 34th of 51
$158
AK $437NJ $126
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.