How much rates vary
Facilitymedian $741 · 10th to 90th $138 to $2,291Professionalmedian $126 · 10th to 90th $93 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 $93.33 Median $134.90 Typical High $4,897.79 | Facility | None | $93.33 | $134.90 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $102.33 Typical High $138.04 | Professional | None | $93.33 | $102.33 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $50.12 Typical High $69.18 | Professional | 52 · Reduced service | $46.77 | $50.12 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.95 Typical High $27.54 | Professional | 53 · Discontinued | $19.05 | $19.95 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $75.86 Typical High $102.33 | Professional | 54 · Surgery only | $70.79 | $75.86 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $15.14 Typical High $20.89 | Professional | 55 · Aftercare only | $14.13 | $15.14 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $10.00 Typical High $13.80 | Professional | 56 · Pre-op care only | $9.33 | $10.00 | $13.80 |
BCBS Michigan Setting Facility Modifier None Typical Low $741.31 Median $954.99 Typical High $2,290.87 | Facility | None | $741.31 | $954.99 | $2,290.87 |
BCBS Michigan Setting Professional Modifier None Typical Low $60.26 Median $144.54 Typical High $151.36 | Professional | None | $60.26 | $144.54 | $151.36 |
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 $77.62 Median $117.49 Typical High $208.93 | Professional | None | $77.62 | $117.49 | $208.93 |
Health Alliance Plan Setting Facility Modifier None Typical Low $74.13 Median $169.82 Typical High $2,041.74 | Facility | None | $74.13 | $169.82 | $2,041.74 |
Health Alliance Plan Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $154.88 | Professional | None | $100.00 | $128.82 | $154.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $69.18 | Professional | 52 · Reduced service | $48.98 | $48.98 | $69.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $28.18 | Professional | 53 · Discontinued | $19.95 | $19.95 | $28.18 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $74.13 Typical High $104.71 | Professional | 54 · Surgery only | $74.13 | $74.13 | $104.71 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $14.79 Typical High $20.89 | Professional | 55 · Aftercare only | $14.79 | $14.79 | $20.89 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $14.13 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $14.13 |
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 $61.66 Median $109.65 Typical High $162.18 | Professional | None | $61.66 | $109.65 | $162.18 |
United Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $1,995.26 | Facility | None | $288.40 | $426.58 | $1,995.26 |
United Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $151.36 | Professional | None | $93.33 | $125.89 | $151.36 |
Where Michigan sits
The same service costs 12.3 times more in Connecticut 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
CT $2,823WV $230
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.