How much rates vary
Facilitymedian $977 · 10th to 90th $525 to $2,570Professionalmedian $363 · 10th to 90th $240 to $457
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 $354.81 Median $2,884.03 Typical High $4,897.79 | Facility | None | $354.81 | $2,884.03 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $354.81 | Professional | None | $316.23 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $263.03 Typical High $269.15 | Professional | 54 · Surgery only | $263.03 | $263.03 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $53.70 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $35.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,698.24 | Facility | None | $977.24 | $977.24 | $1,698.24 |
BCBS Michigan Setting Professional Modifier None Typical Low $239.88 Median $380.19 Typical High $380.19 | Professional | None | $239.88 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $338.84 Typical High $602.56 | Professional | None | $234.42 | $338.84 | $602.56 |
Health Alliance Plan Setting Facility Modifier None Typical Low $588.84 Median $831.76 Typical High $4,897.79 | Facility | None | $588.84 | $831.76 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $446.68 | Professional | None | $316.23 | $354.81 | $446.68 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $177.83 | $177.83 | $177.83 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 54 · Surgery only | $269.15 | $269.15 | $269.15 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $53.70 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $35.48 |
Priority Health Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Priority Health Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $575.44 | Professional | None | $213.80 | $338.84 | $575.44 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,235.94 | Facility | None | $426.58 | $602.56 | $3,235.94 |
United Setting Professional Modifier None Typical Low $323.59 Median $436.52 Typical High $478.63 | Professional | None | $323.59 | $436.52 | $478.63 |
Where Michigan sits
The same service costs 5.2 times more in Oklahoma 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
OK $4,508MT $873
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.