How much rates vary
Facilitymedian $1,349 · 10th to 90th $372 to $2,754Professionalmedian $186 · 10th to 90th $32 to $1,549
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 $151.36 Median $1,445.44 Typical High $4,897.79 | Facility | None | $151.36 | $1,445.44 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $933.25 Typical High $1,445.44 | Professional | None | $151.36 | $933.25 | $1,445.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $524.81 Typical High $707.95 | Professional | 52 · Reduced service | $74.13 | $524.81 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $208.93 Typical High $288.40 | Professional | 53 · Discontinued | $30.20 | $208.93 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $776.25 Typical High $1,071.52 | Professional | 54 · Surgery only | $112.20 | $776.25 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $154.88 Typical High $213.80 | Professional | 55 · Aftercare only | $22.39 | $154.88 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $104.71 Typical High $144.54 | Professional | 56 · Pre-op care only | $15.14 | $104.71 | $144.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $2,344.23 | Facility | None | $1,202.26 | $1,348.96 | $2,344.23 |
BCBS Michigan Setting Professional Modifier None Typical Low $27.54 Median $154.88 Typical High $162.18 | Professional | None | $27.54 | $154.88 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $380.19 Typical High $1,778.28 | Professional | None | $120.23 | $380.19 | $1,778.28 |
Health Alliance Plan Setting Facility Modifier None Typical Low $338.84 Median $2,290.87 Typical High $4,897.79 | Facility | None | $338.84 | $2,290.87 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $151.36 Median $1,122.02 Typical High $1,548.82 | Professional | None | $151.36 | $1,122.02 | $1,548.82 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $91.20 Typical High $776.25 | Professional | 52 · Reduced service | $75.86 | $91.20 | $776.25 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $37.15 Typical High $309.03 | Professional | 53 · Discontinued | $30.20 | $37.15 | $309.03 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $138.04 Typical High $1,174.90 | Professional | 54 · Surgery only | $112.20 | $138.04 | $1,174.90 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $27.54 Typical High $234.42 | Professional | 55 · Aftercare only | $22.39 | $27.54 | $234.42 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $18.20 Typical High $154.88 | Professional | 56 · Pre-op care only | $15.14 | $18.20 | $154.88 |
Priority Health Setting Professional Modifier None Typical Low $112.20 Median $380.19 Typical High $1,659.59 | Professional | None | $112.20 | $380.19 | $1,659.59 |
United Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $2,691.53 | Facility | None | $288.40 | $426.58 | $2,691.53 |
United Setting Professional Modifier None Typical Low $151.36 Median $870.96 Typical High $1,584.89 | Professional | None | $151.36 | $870.96 | $1,584.89 |
Where Michigan sits
The same service costs 5.5 times more in Hawaii 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
HI $4,440MD $808
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.