How much rates vary
Facilitymedian $4,169 · 10th to 90th $2,089 to $8,511Professionalmedian $724 · 10th to 90th $126 to $9,550
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 $575.44 Median $6,760.83 Typical High $8,317.64 | Facility | None | $575.44 | $6,760.83 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $5,370.32 Typical High $6,760.83 | Professional | None | $562.34 | $5,370.32 | $6,760.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $331.13 Typical High $3,388.44 | Professional | 52 · Reduced service | $281.84 | $331.13 | $3,388.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $134.90 Typical High $1,348.96 | Professional | 53 · Discontinued | $112.20 | $134.90 | $1,348.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $4,073.80 Typical High $5,011.87 | Professional | 54 · Surgery only | $426.58 | $4,073.80 | $5,011.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $100.00 Typical High $1,000.00 | Professional | 55 · Aftercare only | $85.11 | $100.00 | $1,000.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $67.61 Typical High $676.08 | Professional | 56 · Pre-op care only | $56.23 | $67.61 | $676.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $467.74 Typical High $4,677.35 | Professional | 78 · Unplanned return to OR | $398.11 | $467.74 | $4,677.35 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,715.35 Median $4,168.69 Typical High $7,244.36 | Facility | None | $3,715.35 | $4,168.69 | $7,244.36 |
BCBS Michigan Setting Professional Modifier None Typical Low $104.71 Median $588.84 Typical High $616.60 | Professional | None | $104.71 | $588.84 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $1,445.44 Typical High $10,715.19 | Professional | None | $457.09 | $1,445.44 | $10,715.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,398.83 Median $6,918.31 Typical High $20,892.96 | Facility | None | $2,398.83 | $6,918.31 | $20,892.96 |
Health Alliance Plan Setting Professional Modifier None Typical Low $575.44 Median $7,244.36 Typical High $9,332.54 | Professional | None | $575.44 | $7,244.36 | $9,332.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $346.74 Typical High $3,630.78 | Professional | 52 · Reduced service | $288.40 | $346.74 | $3,630.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $138.04 Typical High $1,445.44 | Professional | 53 · Discontinued | $114.82 | $138.04 | $1,445.44 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $524.81 Typical High $5,495.41 | Professional | 54 · Surgery only | $426.58 | $524.81 | $5,495.41 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $104.71 Typical High $1,096.48 | Professional | 55 · Aftercare only | $85.11 | $104.71 | $1,096.48 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $69.18 Typical High $724.44 | Professional | 56 · Pre-op care only | $57.54 | $69.18 | $724.44 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $489.78 Typical High $5,128.61 | Professional | 78 · Unplanned return to OR | $398.11 | $489.78 | $5,128.61 |
Priority Health Setting Professional Modifier None Typical Low $416.87 Median $1,445.44 Typical High $9,549.93 | Professional | None | $416.87 | $1,445.44 | $9,549.93 |
United Setting Facility Modifier None Typical Low $891.25 Median $2,818.38 Typical High $10,715.19 | Facility | None | $891.25 | $2,818.38 | $10,715.19 |
United Setting Professional Modifier None Typical Low $575.44 Median $5,248.07 Typical High $11,748.98 | Professional | None | $575.44 | $5,248.07 | $11,748.98 |
Where Michigan sits
The same service costs 4.1 times more in Iowa 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
IA $18,453DE $4,539
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.