How much rates vary
Facilitymedian $191 · 10th to 90th $110 to $2,399Professionalmedian $240 · 10th to 90th $195 to $347
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 $218.78 Median $251.19 Typical High $4,897.79 | Facility | None | $218.78 | $251.19 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $257.04 | Professional | None | $213.80 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $112.20 Typical High $125.89 | Professional | 52 · Reduced service | $102.33 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $44.67 Typical High $51.29 | Professional | 53 · Discontinued | $40.74 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $169.82 Typical High $190.55 | Professional | 54 · Surgery only | $154.88 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $33.88 Typical High $38.02 | Professional | 55 · Aftercare only | $30.90 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $22.39 Typical High $25.70 | Professional | 56 · Pre-op care only | $20.42 | $22.39 | $25.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $158.49 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $144.54 | $158.49 | $177.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $109.65 Median $112.20 Typical High $204.17 | Facility | None | $109.65 | $112.20 | $204.17 |
BCBS Michigan Setting Professional Modifier None Typical Low $186.21 Median $346.74 Typical High $346.74 | Professional | None | $186.21 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $204.17 Typical High $275.42 | Professional | None | $134.90 | $204.17 | $275.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $117.49 Median $478.63 Typical High $4,897.79 | Facility | None | $117.49 | $478.63 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $275.42 | Professional | None | $194.98 | $234.42 | $275.42 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | 52 · Reduced service | $107.15 | $107.15 | $120.23 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $47.86 | Professional | 53 · Discontinued | $42.66 | $42.66 | $47.86 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | 54 · Surgery only | $158.49 | $158.49 | $181.97 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $36.31 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $36.31 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $23.99 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $23.99 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $147.91 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $147.91 | $147.91 | $169.82 |
Priority Health Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $257.04 | Professional | None | $125.89 | $190.55 | $257.04 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $5,011.87 | Facility | None | $602.56 | $1,230.27 | $5,011.87 |
United Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $302.00 | Professional | None | $194.98 | $234.42 | $302.00 |
Where Michigan sits
The same service costs 4.9 times more in Oklahoma than in Florida. 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· 29th of 51
$240
OK $891FL $182
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.