How much rates vary
Facilitymedian $490 · 10th to 90th $224 to $1,288Professionalmedian $89 · 10th to 90th $29 to $224
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 $72.44 Median $208.93 Typical High $4,897.79 | Facility | None | $72.44 | $208.93 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $162.18 Typical High $223.87 | Professional | None | $70.79 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $79.43 Typical High $109.65 | Professional | 52 · Reduced service | $36.31 | $79.43 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $32.36 Typical High $43.65 | Professional | 53 · Discontinued | $14.45 | $32.36 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $120.23 Typical High $162.18 | Professional | 54 · Surgery only | $53.70 | $120.23 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $23.99 Typical High $32.36 | Professional | 55 · Aftercare only | $10.96 | $23.99 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $16.22 Typical High $21.88 | Professional | 56 · Pre-op care only | $7.24 | $16.22 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
BCBS Setting Facility Modifier None Typical Low $346.74 Median $524.81 Typical High $1,202.26 | Facility | None | $346.74 | $524.81 | $1,202.26 |
BCBS Setting Professional Modifier None Typical Low $16.22 Median $79.43 Typical High $83.18 | Professional | None | $16.22 | $79.43 | $83.18 |
CareSource Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $275.42 | Facility | None | $165.96 | $165.96 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $169.82 Typical High $316.23 | Professional | None | $69.18 | $169.82 | $316.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $77.62 Median $407.38 Typical High $4,897.79 | Facility | None | $77.62 | $407.38 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $77.62 Median $190.55 Typical High $234.42 | Professional | None | $77.62 | $190.55 | $234.42 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $57.54 Typical High $112.20 | Professional | 52 · Reduced service | $38.90 | $57.54 | $112.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $22.91 Typical High $44.67 | Professional | 53 · Discontinued | $15.49 | $22.91 | $44.67 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $87.10 Typical High $165.96 | Professional | 54 · Surgery only | $58.88 | $87.10 | $165.96 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $17.38 Typical High $33.11 | Professional | 55 · Aftercare only | $11.75 | $17.38 | $33.11 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $11.48 Typical High $22.39 | Professional | 56 · Pre-op care only | $7.76 | $11.48 | $22.39 |
Priority Health Setting Professional Modifier None Typical Low $67.61 Median $165.96 Typical High $281.84 | Professional | None | $67.61 | $165.96 | $281.84 |
United Setting Facility Modifier None Typical Low $43.65 Median $53.70 Typical High $58.88 | Facility | None | $43.65 | $53.70 | $58.88 |
United Setting Professional Modifier None Typical Low $69.18 Median $141.25 Typical High $223.87 | Professional | None | $69.18 | $141.25 | $223.87 |
Where Michigan sits
The same service costs 2.9 times more in Washington 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· 50th of 51
$112
WA $288KY $100
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.