How much rates vary
Facilitymedian $120 · 10th to 90th $35 to $617Professionalmedian $219 · 10th to 90th $112 to $275
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 $223.87 Median $223.87 Typical High $234.42 | Facility | None | $223.87 | $223.87 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $234.42 Typical High $281.84 | Professional | None | $151.36 | $234.42 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $117.49 Typical High $120.23 | Professional | 52 · Reduced service | $95.50 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $46.77 Typical High $47.86 | Professional | 53 · Discontinued | $38.02 | $46.77 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $35.48 Typical High $35.48 | Professional | 55 · Aftercare only | $28.84 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $23.44 Typical High $23.99 | Professional | 56 · Pre-op care only | $19.05 | $23.44 | $23.99 |
BCBS Michigan Setting Facility Modifier None Typical Low $23.44 Median $53.70 Typical High $123.03 | Facility | None | $23.44 | $53.70 | $123.03 |
BCBS Michigan Setting Professional Modifier None Typical Low $50.12 Median $125.89 Typical High $125.89 | Professional | None | $50.12 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $245.47 Typical High $302.00 | Professional | None | $134.90 | $245.47 | $302.00 |
Health Alliance Plan Setting Facility Modifier None Typical Low $234.42 Median $524.81 Typical High $575.44 | Facility | None | $234.42 | $524.81 | $575.44 |
Health Alliance Plan Setting Professional Modifier None Typical Low $112.20 Median $229.09 Typical High $288.40 | Professional | None | $112.20 | $229.09 | $288.40 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $102.33 | $114.82 | $114.82 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $40.74 | $46.77 | $46.77 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $34.67 Typical High $34.67 | Professional | 55 · Aftercare only | $30.20 | $34.67 | $34.67 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $23.44 Typical High $23.44 | Professional | 56 · Pre-op care only | $20.42 | $23.44 | $23.44 |
Priority Health Setting Professional Modifier None Typical Low $134.90 Median $245.47 Typical High $281.84 | Professional | None | $134.90 | $245.47 | $281.84 |
United Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $1,258.93 | Facility | None | $89.13 | $177.83 | $1,258.93 |
United Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $302.00 | Professional | None | $204.17 | $229.09 | $302.00 |
Where Michigan sits
The same service costs 40.2 times more in Alabama than in Delaware. 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
AL $12,840DE $320
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.