How much rates vary
Facilitymedian $398 · 10th to 90th $120 to $832Professionalmedian $209 · 10th to 90th $120 to $316
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 $173.78 Median $275.42 Typical High $4,897.79 | Facility | None | $173.78 | $275.42 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $281.84 | Professional | None | $173.78 | $208.93 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $102.33 Typical High $141.25 | Professional | 52 · Reduced service | $87.10 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $40.74 Typical High $56.23 | Professional | 53 · Discontinued | $34.67 | $40.74 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $154.88 Typical High $208.93 | Professional | 54 · Surgery only | $128.82 | $154.88 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $30.90 Typical High $41.69 | Professional | 55 · Aftercare only | $25.70 | $30.90 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $20.42 Typical High $28.18 | Professional | 56 · Pre-op care only | $17.38 | $20.42 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
BCBS Michigan Setting Facility Modifier None Typical Low $398.11 Median $407.38 Typical High $707.95 | Facility | None | $398.11 | $407.38 | $707.95 |
BCBS Michigan Setting Professional Modifier None Typical Low $33.88 Median $199.53 Typical High $416.87 | Professional | None | $33.88 | $199.53 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $331.13 | Professional | None | $123.03 | $181.97 | $331.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $109.65 Median $257.04 Typical High $2,041.74 | Facility | None | $109.65 | $257.04 | $2,041.74 |
Health Alliance Plan Setting Professional Modifier None Typical Low $169.82 Median $257.04 Typical High $316.23 | Professional | None | $169.82 | $257.04 | $316.23 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $89.13 Typical High $138.04 | Professional | 52 · Reduced service | $85.11 | $89.13 | $138.04 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $35.48 Typical High $54.95 | Professional | 53 · Discontinued | $33.88 | $35.48 | $54.95 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $131.83 Typical High $208.93 | Professional | 54 · Surgery only | $128.82 | $131.83 | $208.93 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $26.30 Typical High $41.69 | Professional | 55 · Aftercare only | $25.70 | $26.30 | $41.69 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $17.78 Typical High $27.54 | Professional | 56 · Pre-op care only | $16.98 | $17.78 | $27.54 |
Priority Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Priority Health Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $302.00 | Professional | None | $123.03 | $181.97 | $302.00 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,202.26 | Facility | None | $91.20 | $177.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $162.18 Median $234.42 Typical High $316.23 | Professional | None | $162.18 | $234.42 | $316.23 |
Where Michigan sits
The same service costs 8.8 times more in New York than in Alabama. 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 $2,761AL $314
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.