How much rates vary
Facilitymedian $603 · 10th to 90th $309 to $1,622Professionalmedian $138 · 10th to 90th $87 to $166
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 $141.25 Median $2,884.03 Typical High $4,897.79 | Facility | None | $141.25 | $2,884.03 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $141.25 | Professional | None | $112.20 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.18 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $107.15 Typical High $107.15 | Professional | 54 · Surgery only | $104.71 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 55 · Aftercare only | $20.89 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $14.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $602.56 Median $616.60 Typical High $1,047.13 | Facility | None | $602.56 | $616.60 | $1,047.13 |
BCBS Michigan Setting Professional Modifier None Typical Low $29.51 Median $93.33 Typical High $147.91 | Professional | None | $29.51 | $93.33 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $234.42 | Professional | None | $89.13 | $128.82 | $234.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $245.47 Median $309.03 Typical High $4,897.79 | Facility | None | $245.47 | $309.03 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $141.25 | Professional | None | $100.00 | $128.82 | $141.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 54 · Surgery only | $104.71 | $104.71 | $104.71 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $20.89 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $13.80 |
Priority Health Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $208.93 | Professional | None | $89.13 | $128.82 | $208.93 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $2,951.21 | Facility | None | $426.58 | $602.56 | $2,951.21 |
United Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $173.78 | Professional | None | $125.89 | $147.91 | $173.78 |
Where Michigan sits
The same service costs 8.8 times more in New York 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
NY $2,931MT $332
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.