How much rates vary
Facilitymedian $224 · 10th to 90th $138 to $1,202Professionalmedian $295 · 10th to 90th $186 to $389
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 $288.40 Median $295.12 Typical High $6,918.31 | Facility | None | $288.40 | $295.12 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $295.12 Typical High $295.12 | Professional | None | $257.04 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $223.87 Typical High $223.87 | Professional | 54 · Surgery only | $181.97 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $37.15 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $29.51 Typical High $29.51 | Professional | 56 · Pre-op care only | $24.55 | $29.51 | $29.51 |
BCBS Michigan Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $239.88 | Facility | None | $138.04 | $138.04 | $239.88 |
BCBS Michigan Setting Professional Modifier None Typical Low $74.13 Median $371.54 Typical High $389.05 | Professional | None | $74.13 | $371.54 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $281.84 Typical High $977.24 | Professional | None | $165.96 | $281.84 | $977.24 |
Health Alliance Plan Setting Facility Modifier None Typical Low $281.84 Median $741.31 Typical High $4,897.79 | Facility | None | $281.84 | $741.31 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $389.05 | Professional | None | $251.19 | $281.84 | $389.05 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 54 · Surgery only | $208.93 | $208.93 | $208.93 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $41.69 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $28.18 |
Priority Health Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $977.24 | Professional | None | $158.49 | $223.87 | $977.24 |
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 $186.21 Median $309.03 Typical High $416.87 | Professional | None | $186.21 | $309.03 | $416.87 |
Where Michigan sits
The same service costs 8.5 times more in New York than in Kentucky. 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.
Michigan· 35th of 51
$295
NY $1,820KY $214
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.