How much rates vary
Facilitymedian $1,514 · 10th to 90th $851 to $3,162Professionalmedian $617 · 10th to 90th $282 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 $331.13 Median $1,348.96 Typical High $4,897.79 | Facility | None | $331.13 | $1,348.96 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $954.99 Typical High $1,380.38 | Professional | None | $331.13 | $954.99 | $1,380.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $478.63 Typical High $676.08 | Professional | 52 · Reduced service | $162.18 | $478.63 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $204.17 Typical High $275.42 | Professional | 53 · Discontinued | $66.07 | $204.17 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $724.44 Typical High $1,023.29 | Professional | 54 · Surgery only | $245.47 | $724.44 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $144.54 Typical High $204.17 | Professional | 55 · Aftercare only | $48.98 | $144.54 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $102.33 Typical High $138.04 | Professional | 56 · Pre-op care only | $33.11 | $102.33 | $138.04 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,348.96 Median $1,513.56 Typical High $2,630.27 | Facility | None | $1,348.96 | $1,513.56 | $2,630.27 |
BCBS Michigan Setting Professional Modifier None Typical Low $67.61 Median $338.84 Typical High $338.84 | Professional | None | $67.61 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $776.25 Typical High $1,548.82 | Professional | None | $234.42 | $776.25 | $1,548.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $338.84 Median $1,380.38 Typical High $3,235.94 | Facility | None | $338.84 | $1,380.38 | $3,235.94 |
Health Alliance Plan Setting Professional Modifier None Typical Low $323.59 Median $1,202.26 Typical High $1,479.11 | Professional | None | $323.59 | $1,202.26 | $1,479.11 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $165.96 Typical High $691.83 | Professional | 52 · Reduced service | $162.18 | $165.96 | $691.83 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $66.07 Typical High $281.84 | Professional | 53 · Discontinued | $64.57 | $66.07 | $281.84 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $245.47 Typical High $1,047.13 | Professional | 54 · Surgery only | $239.88 | $245.47 | $1,047.13 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $48.98 Typical High $208.93 | Professional | 55 · Aftercare only | $47.86 | $48.98 | $208.93 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $33.11 Typical High $138.04 | Professional | 56 · Pre-op care only | $32.36 | $33.11 | $138.04 |
Priority Health Setting Professional Modifier None Typical Low $234.42 Median $776.25 Typical High $1,513.56 | Professional | None | $234.42 | $776.25 | $1,513.56 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $5,248.07 | Facility | None | $602.56 | $1,230.27 | $5,248.07 |
United Setting Professional Modifier None Typical Low $323.59 Median $1,023.29 Typical High $1,621.81 | Professional | None | $323.59 | $1,023.29 | $1,621.81 |
Where Michigan sits
The same service costs 3.2 times more in Oklahoma 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.
Physician feeFacility fee
OK $6,075KY $1,891
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.