How much rates vary
Facilitymedian $6,761 · 10th to 90th $501 to $10,715Professionalmedian $2,344 · 10th to 90th $1,905 to $2,754
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 $2,344.23 Median $2,344.23 Typical High $6,918.31 | Facility | None | $2,344.23 | $2,344.23 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,344.23 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $1,174.90 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $467.74 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,778.28 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $354.81 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $234.42 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,698.24 | $1,698.24 |
BCBS Michigan Setting Facility Modifier None Typical Low $6,760.83 Median $6,918.31 Typical High $12,022.64 | Facility | None | $6,760.83 | $6,918.31 | $12,022.64 |
BCBS Michigan Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $2,630.27 | Professional | None | $416.87 | $416.87 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $3,715.35 | Professional | None | $1,548.82 | $2,089.30 | $3,715.35 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,344.23 Median $5,128.61 Typical High $5,495.41 | Facility | None | $2,344.23 | $5,128.61 | $5,495.41 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $2,511.89 | Professional | None | $1,905.46 | $2,344.23 | $2,511.89 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $1,174.90 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 53 · Discontinued | $467.74 | $467.74 | $467.74 |
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 $234.42 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $234.42 | $234.42 | $234.42 |
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 $1,513.56 Median $1,995.26 Typical High $3,388.44 | Professional | None | $1,513.56 | $1,995.26 | $3,388.44 |
United Setting Facility Modifier None Typical Low $426.58 Median $549.54 Typical High $3,311.31 | Facility | None | $426.58 | $549.54 | $3,311.31 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,570.40 | $2,884.03 |
Where Michigan sits
The same service costs 8.0 times more in Maine than in Texas. 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 $18,193TX $2,277
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.