How much rates vary
Facilitymedian $2,754 · 10th to 90th $490 to $6,026Professionalmedian $398 · 10th to 90th $219 to $550
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 $275.42 Median $489.78 Typical High $4,897.79 | Facility | None | $275.42 | $489.78 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $537.03 | Professional | None | $269.15 | $380.19 | $537.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $177.83 Typical High $251.19 | Professional | 52 · Reduced service | $134.90 | $177.83 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $70.79 Typical High $102.33 | Professional | 53 · Discontinued | $53.70 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $269.15 Typical High $380.19 | Professional | 54 · Surgery only | $199.53 | $269.15 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $53.70 Typical High $75.86 | Professional | 55 · Aftercare only | $39.81 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $35.48 Typical High $50.12 | Professional | 56 · Pre-op care only | $26.92 | $35.48 | $50.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,754.23 Median $2,818.38 Typical High $4,786.30 | Facility | None | $2,754.23 | $2,818.38 | $4,786.30 |
BCBS Michigan Setting Professional Modifier None Typical Low $60.26 Median $288.40 Typical High $302.00 | Professional | None | $60.26 | $288.40 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $389.05 Typical High $691.83 | Professional | None | $204.17 | $389.05 | $691.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $295.12 Median $1,698.24 Typical High $9,332.54 | Facility | None | $295.12 | $1,698.24 | $9,332.54 |
Health Alliance Plan Setting Professional Modifier None Typical Low $269.15 Median $467.74 Typical High $575.44 | Professional | None | $269.15 | $467.74 | $575.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $138.04 Typical High $263.03 | Professional | 52 · Reduced service | $131.83 | $138.04 | $263.03 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $54.95 Typical High $104.71 | Professional | 53 · Discontinued | $52.48 | $54.95 | $104.71 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $204.17 Typical High $389.05 | Professional | 54 · Surgery only | $199.53 | $204.17 | $389.05 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $40.74 Typical High $79.43 | Professional | 55 · Aftercare only | $39.81 | $40.74 | $79.43 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $27.54 Typical High $52.48 | Professional | 56 · Pre-op care only | $26.30 | $27.54 | $52.48 |
Priority Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Priority Health Setting Professional Modifier None Typical Low $204.17 Median $354.81 Typical High $616.60 | Professional | None | $204.17 | $354.81 | $616.60 |
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 $281.84 Median $407.38 Typical High $588.84 | Professional | None | $281.84 | $407.38 | $588.84 |
Where Michigan sits
The same service costs 5.9 times more in Oklahoma than in West Virginia. 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 $4,893WV $835
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.