How much rates vary
Facilitymedian $324 · 10th to 90th $219 to $1,698Professionalmedian $224 · 10th to 90th $148 to $282
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 $151.36 Median $257.04 Typical High $4,897.79 | Facility | None | $151.36 | $257.04 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $257.04 | Professional | None | $151.36 | $194.98 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $95.50 Typical High $128.82 | Professional | 52 · Reduced service | $75.86 | $95.50 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $38.02 Typical High $51.29 | Professional | 53 · Discontinued | $30.20 | $38.02 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $141.25 Typical High $190.55 | Professional | 54 · Surgery only | $112.20 | $141.25 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $28.18 Typical High $38.90 | Professional | 55 · Aftercare only | $22.39 | $28.18 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $19.05 Typical High $25.70 | Professional | 56 · Pre-op care only | $15.14 | $19.05 | $25.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $131.83 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $104.71 | $131.83 | $181.97 |
BCBS Michigan Setting Facility Modifier None Typical Low $218.78 Median $223.87 Typical High $380.19 | Facility | None | $218.78 | $223.87 | $380.19 |
BCBS Michigan Setting Professional Modifier None Typical Low $31.62 Median $186.21 Typical High $281.84 | Professional | None | $31.62 | $186.21 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $190.55 Typical High $316.23 | Professional | None | $128.82 | $190.55 | $316.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $234.42 Median $524.81 Typical High $4,897.79 | Facility | None | $234.42 | $524.81 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $302.00 | Professional | None | $165.96 | $245.47 | $302.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $81.28 Typical High $131.83 | Professional | 52 · Reduced service | $75.86 | $81.28 | $131.83 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.11 Typical High $52.48 | Professional | 53 · Discontinued | $30.20 | $33.11 | $52.48 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $123.03 Typical High $199.53 | Professional | 54 · Surgery only | $114.82 | $123.03 | $199.53 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $24.55 Typical High $39.81 | Professional | 55 · Aftercare only | $22.91 | $24.55 | $39.81 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $16.60 Typical High $26.30 | Professional | 56 · Pre-op care only | $15.14 | $16.60 | $26.30 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $114.82 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $107.15 | $114.82 | $186.21 |
Priority Health Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $281.84 | Professional | None | $120.23 | $177.83 | $281.84 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,162.28 | Facility | None | $426.58 | $602.56 | $3,162.28 |
United Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $269.15 | Professional | None | $144.54 | $208.93 | $269.15 |
Where Michigan sits
The same service costs 3.9 times more in Oklahoma 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.
Michigan· 24th of 51
$234
OK $646KY $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.