How much rates vary
Facilitymedian $646 · 10th to 90th $372 to $1,950Professionalmedian $135 · 10th to 90th $25 to $195
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 $109.65 Median $177.83 Typical High $4,897.79 | Facility | None | $109.65 | $177.83 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $169.82 | Professional | None | $109.65 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $66.07 Typical High $85.11 | Professional | 52 · Reduced service | $54.95 | $66.07 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $26.30 Typical High $34.67 | Professional | 53 · Discontinued | $21.88 | $26.30 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $97.72 Typical High $128.82 | Professional | 54 · Surgery only | $81.28 | $97.72 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $19.50 Typical High $25.70 | Professional | 55 · Aftercare only | $16.22 | $19.50 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $13.18 Typical High $16.98 | Professional | 56 · Pre-op care only | $10.96 | $13.18 | $16.98 |
BCBS Michigan Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $1,659.59 | Facility | None | $575.44 | $645.65 | $1,659.59 |
BCBS Michigan Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $125.89 | Professional | None | $23.99 | $25.12 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $125.89 Typical High $269.15 | Professional | None | $70.79 | $125.89 | $269.15 |
Health Alliance Plan Setting Facility Modifier None Typical Low $162.18 Median $371.54 Typical High $2,884.03 | Facility | None | $162.18 | $371.54 | $2,884.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $114.82 Median $173.78 Typical High $199.53 | Professional | None | $114.82 | $173.78 | $199.53 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $60.26 Typical High $91.20 | Professional | 52 · Reduced service | $54.95 | $60.26 | $91.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $36.31 | Professional | 53 · Discontinued | $21.88 | $23.99 | $36.31 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $91.20 Typical High $134.90 | Professional | 54 · Surgery only | $83.18 | $91.20 | $134.90 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $18.20 Typical High $27.54 | Professional | 55 · Aftercare only | $16.60 | $18.20 | $27.54 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.02 Typical High $18.20 | Professional | 56 · Pre-op care only | $10.96 | $12.02 | $18.20 |
Priority Health Setting Professional Modifier None Typical Low $63.10 Median $120.23 Typical High $218.78 | Professional | None | $63.10 | $120.23 | $218.78 |
United Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $2,089.30 | Facility | None | $288.40 | $426.58 | $2,089.30 |
United Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $194.98 | Professional | None | $100.00 | $144.54 | $194.98 |
Where Michigan sits
The same service costs 7.8 times more in New York than in North Dakota. 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
NY $2,820ND $362
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.