How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,349 to $10,965Professionalmedian $2,455 · 10th to 90th $1,660 to $2,818
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 $2,398.83 Median $2,398.83 Typical High $6,918.31 | Facility | None | $2,398.83 | $2,398.83 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,398.83 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $1,862.09 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,819.70 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $363.08 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $239.88 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $1,737.80 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,698.24 | $1,737.80 | $1,737.80 |
BCBS Michigan Setting Facility Modifier None Typical Low $6,918.31 Median $7,079.46 Typical High $12,022.64 | Facility | None | $6,918.31 | $7,079.46 | $12,022.64 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,584.89 Median $2,511.89 Typical High $2,630.27 | Professional | None | $1,584.89 | $2,511.89 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,137.96 Typical High $3,981.07 | Professional | None | $1,548.82 | $2,137.96 | $3,981.07 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,398.83 Median $5,248.07 Typical High $5,754.40 | Facility | None | $2,398.83 | $5,248.07 | $5,754.40 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,949.84 Median $2,398.83 Typical High $2,754.23 | Professional | None | $1,949.84 | $2,398.83 | $2,754.23 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,778.28 | $1,778.28 | $1,778.28 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $354.81 | $354.81 | $354.81 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $239.88 | $239.88 | $239.88 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $1,659.59 |
Priority Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $3,467.37 | Professional | None | $1,548.82 | $2,041.74 | $3,467.37 |
United Setting Facility Modifier None Typical Low $891.25 Median $2,818.38 Typical High $8,709.64 | Facility | None | $891.25 | $2,818.38 | $8,709.64 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,691.53 Typical High $2,951.21 | Professional | None | $2,137.96 | $2,691.53 | $2,951.21 |
Where Michigan sits
The same service costs 7.2 times more in Maine than in Delaware. 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
ME $28,702DE $3,966
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.