How much rates vary
Facilitymedian $214 · 10th to 90th $120 to $708Professionalmedian $141 · 10th to 90th $71 to $200
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 $120.23 Median $186.21 Typical High $4,897.79 | Facility | None | $120.23 | $186.21 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $199.53 | Professional | None | $120.23 | $141.25 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $66.07 Typical High $95.50 | Professional | 52 · Reduced service | $60.26 | $66.07 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.30 Typical High $38.02 | Professional | 53 · Discontinued | $24.55 | $26.30 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $100.00 Typical High $141.25 | Professional | 54 · Surgery only | $91.20 | $100.00 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $19.95 Typical High $28.18 | Professional | 55 · Aftercare only | $18.20 | $19.95 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $13.18 Typical High $19.05 | Professional | 56 · Pre-op care only | $12.02 | $13.18 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
BCBS Setting Facility Modifier None Typical Low $213.80 Median $218.78 Typical High $380.19 | Facility | None | $213.80 | $218.78 | $380.19 |
BCBS Setting Professional Modifier None Typical Low $20.42 Median $102.33 Typical High $186.21 | Professional | None | $20.42 | $102.33 | $186.21 |
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 $89.13 Median $141.25 Typical High $229.09 | Professional | None | $89.13 | $141.25 | $229.09 |
Health Alliance Plan Setting Facility Modifier None Typical Low $89.13 Median $239.88 Typical High $4,897.79 | Facility | None | $89.13 | $239.88 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $218.78 | Professional | None | $120.23 | $162.18 | $218.78 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $63.10 Typical High $93.33 | Professional | 52 · Reduced service | $60.26 | $63.10 | $93.33 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.12 Typical High $37.15 | Professional | 53 · Discontinued | $23.99 | $25.12 | $37.15 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $93.33 Typical High $138.04 | Professional | 54 · Surgery only | $91.20 | $93.33 | $138.04 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.62 Typical High $28.18 | Professional | 55 · Aftercare only | $18.20 | $18.62 | $28.18 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.59 Typical High $18.62 | Professional | 56 · Pre-op care only | $12.02 | $12.59 | $18.62 |
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 $83.18 Median $141.25 Typical High $223.87 | Professional | None | $83.18 | $141.25 | $223.87 |
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 $123.03 Median $158.49 Typical High $204.17 | Professional | None | $123.03 | $158.49 | $204.17 |
Where Michigan sits
The same service costs 3.2 times more in Wisconsin 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· 42nd of 51
$145
WI $417KY $129
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.