How much rates vary
Facilitymedian $339 · 10th to 90th $91 to $1,148Professionalmedian $87 · 10th to 90th $42 to $151
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 $81.28 Median $151.36 Typical High $4,897.79 | Facility | None | $81.28 | $151.36 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $151.36 | Professional | None | $74.13 | $89.13 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $75.86 | Professional | 52 · Reduced service | $40.74 | $40.74 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $30.20 | Professional | 53 · Discontinued | $16.22 | $16.22 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $61.66 Typical High $114.82 | Professional | 54 · Surgery only | $60.26 | $61.66 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $22.91 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.13 Typical High $15.14 | Professional | 56 · Pre-op care only | $8.13 | $8.13 | $15.14 |
Ambetter Setting Professional Modifier None Typical Low $87.10 Median $91.20 Typical High $91.20 | Professional | None | $87.10 | $91.20 | $91.20 |
BCBS Michigan Setting Facility Modifier None Typical Low $338.84 Median $426.58 Typical High $1,047.13 | Facility | None | $338.84 | $426.58 | $1,047.13 |
BCBS Michigan Setting Professional Modifier None Typical Low $12.88 Median $41.69 Typical High $97.72 | Professional | None | $12.88 | $41.69 | $97.72 |
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 $39.81 Median $77.62 Typical High $181.97 | Professional | None | $39.81 | $77.62 | $181.97 |
Health Alliance Plan Setting Facility Modifier None Typical Low $56.23 Median $208.93 Typical High $1,412.54 | Facility | None | $56.23 | $208.93 | $1,412.54 |
Health Alliance Plan Setting Professional Modifier None Typical Low $52.48 Median $93.33 Typical High $151.36 | Professional | None | $52.48 | $93.33 | $151.36 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $30.20 Typical High $61.66 | Professional | 52 · Reduced service | $26.30 | $30.20 | $61.66 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $12.30 Typical High $24.55 | Professional | 53 · Discontinued | $10.47 | $12.30 | $24.55 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $45.71 Typical High $91.20 | Professional | 54 · Surgery only | $39.81 | $45.71 | $91.20 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $9.12 Typical High $18.20 | Professional | 55 · Aftercare only | $7.94 | $9.12 | $18.20 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $6.03 Typical High $12.30 | Professional | 56 · Pre-op care only | $5.25 | $6.03 | $12.30 |
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 $39.81 Median $74.13 Typical High $134.90 | Professional | None | $39.81 | $74.13 | $134.90 |
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 $54.95 Median $79.43 Typical High $114.82 | Professional | None | $54.95 | $79.43 | $114.82 |
Where Michigan sits
The same service costs 16.4 times more in Connecticut 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.
Physician feeFacility fee
CT $2,728KY $166
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.