How much rates vary
Facilitymedian $14 · 10th to 90th $9 to $240Professionalmedian $17 · 10th to 90th $13 to $23
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 $14.45 Median $15.14 Typical High $23.44 | Facility | None | $14.45 | $15.14 | $23.44 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $7.24 Median $7.59 Typical High $11.75 | Facility | 52 · Reduced service | $7.24 | $7.59 | $11.75 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.88 Median $3.02 Typical High $4.68 | Facility | 53 · Discontinued | $2.88 | $3.02 | $4.68 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $10.72 Median $11.22 Typical High $17.78 | Facility | 54 · Surgery only | $10.72 | $11.22 | $17.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.19 Median $2.24 Typical High $3.55 | Facility | 55 · Aftercare only | $2.19 | $2.24 | $3.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.51 Typical High $2.34 | Facility | 56 · Pre-op care only | $1.45 | $1.51 | $2.34 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $18.62 | Professional | None | $13.49 | $15.85 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.76 Typical High $9.33 | Professional | 52 · Reduced service | $7.24 | $7.76 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.09 Typical High $3.72 | Professional | 53 · Discontinued | $2.88 | $3.09 | $3.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.72 Median $11.75 Typical High $14.13 | Professional | 54 · Surgery only | $10.72 | $11.75 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $2.34 Typical High $2.82 | Professional | 55 · Aftercare only | $2.19 | $2.34 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.55 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.45 | $1.55 | $1.86 |
BCBS Michigan Setting Facility Modifier None Typical Low $8.71 Median $8.91 Typical High $15.85 | Facility | None | $8.71 | $8.91 | $15.85 |
BCBS Michigan Setting Professional Modifier None Typical Low $2.69 Median $15.85 Typical High $15.85 | Professional | None | $2.69 | $15.85 | $15.85 |
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 $10.72 Median $16.60 Typical High $23.99 | Professional | None | $10.72 | $16.60 | $23.99 |
Health Alliance Plan Setting Facility Modifier None Typical Low $10.47 Median $15.14 Typical High $45.71 | Facility | None | $10.47 | $15.14 | $45.71 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $7.24 Median $7.59 Typical High $11.75 | Facility | 52 · Reduced service | $7.24 | $7.59 | $11.75 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $2.88 Median $3.02 Typical High $4.68 | Facility | 53 · Discontinued | $2.88 | $3.02 | $4.68 |
Health Alliance Plan Setting Facility Modifier 54 · Surgery only Typical Low $10.72 Median $11.22 Typical High $17.78 | Facility | 54 · Surgery only | $10.72 | $11.22 | $17.78 |
Health Alliance Plan Setting Facility Modifier 55 · Aftercare only Typical Low $2.19 Median $2.24 Typical High $3.55 | Facility | 55 · Aftercare only | $2.19 | $2.24 | $3.55 |
Health Alliance Plan Setting Facility Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.51 Typical High $2.34 | Facility | 56 · Pre-op care only | $1.45 | $1.51 | $2.34 |
Health Alliance Plan Setting Professional Modifier None Typical Low $14.45 Median $17.78 Typical High $23.44 | Professional | None | $14.45 | $17.78 | $23.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.59 Typical High $9.33 | Professional | 52 · Reduced service | $7.24 | $7.59 | $9.33 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.02 Typical High $3.72 | Professional | 53 · Discontinued | $2.88 | $3.02 | $3.72 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $10.72 Median $11.22 Typical High $13.80 | Professional | 54 · Surgery only | $10.72 | $11.22 | $13.80 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $2.24 Typical High $2.75 | Professional | 55 · Aftercare only | $2.19 | $2.24 | $2.75 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.51 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.45 | $1.51 | $1.86 |
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 $9.33 Median $16.60 Typical High $21.88 | Professional | None | $9.33 | $16.60 | $21.88 |
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 $14.45 Median $18.62 Typical High $26.30 | Professional | None | $14.45 | $18.62 | $26.30 |
Where Michigan sits
The same service costs 3.5 times more in Alaska than in New York. 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· 41st of 51
$16.98
AK $48.98NY $13.80
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.