How much rates vary
Facilitymedian $575 · 10th to 90th $347 to $1,549Professionalmedian $170 · 10th to 90th $83 to $407
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 $120.23 Median $389.05 Typical High $4,897.79 | Facility | None | $120.23 | $389.05 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $275.42 Typical High $389.05 | Professional | None | $120.23 | $275.42 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $138.04 Typical High $194.98 | Professional | 52 · Reduced service | $58.88 | $138.04 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $54.95 Typical High $77.62 | Professional | 53 · Discontinued | $23.99 | $54.95 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $204.17 Typical High $288.40 | Professional | 54 · Surgery only | $89.13 | $204.17 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $40.74 Typical High $57.54 | Professional | 55 · Aftercare only | $17.78 | $40.74 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $27.54 Typical High $38.90 | Professional | 56 · Pre-op care only | $12.02 | $27.54 | $38.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $575.44 Median $588.84 Typical High $1,000.00 | Facility | None | $575.44 | $588.84 | $1,000.00 |
BCBS Michigan Setting Professional Modifier None Typical Low $22.91 Median $125.89 Typical High $134.90 | Professional | None | $22.91 | $125.89 | $134.90 |
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 $95.50 Median $239.88 Typical High $512.86 | Professional | None | $95.50 | $239.88 | $512.86 |
Health Alliance Plan Setting Facility Modifier None Typical Low $323.59 Median $489.78 Typical High $2,884.03 | Facility | None | $323.59 | $489.78 | $2,884.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $117.49 Median $380.19 Typical High $407.38 | Professional | None | $117.49 | $380.19 | $407.38 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $109.65 Typical High $204.17 | Professional | 52 · Reduced service | $58.88 | $109.65 | $204.17 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $44.67 Typical High $81.28 | Professional | 53 · Discontinued | $23.44 | $44.67 | $81.28 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $165.96 Typical High $302.00 | Professional | 54 · Surgery only | $89.13 | $165.96 | $302.00 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $33.11 Typical High $60.26 | Professional | 55 · Aftercare only | $17.78 | $33.11 | $60.26 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $21.88 Typical High $40.74 | Professional | 56 · Pre-op care only | $11.75 | $21.88 | $40.74 |
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 $89.13 Median $239.88 Typical High $416.87 | Professional | None | $89.13 | $239.88 | $416.87 |
United Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $2,089.30 | Facility | None | $288.40 | $426.58 | $2,089.30 |
United Setting Professional Modifier None Typical Low $117.49 Median $257.04 Typical High $426.58 | Professional | None | $117.49 | $257.04 | $426.58 |
Where Michigan sits
The same service costs 4.9 times more in Connecticut than in Maryland. 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
CT $3,081MD $627
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.