How much rates vary
Facilitymedian $347 · 10th to 90th $91 to $4,786Professionalmedian $501 · 10th to 90th $447 to $676
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 $489.78 Median $2,041.74 Typical High $4,897.79 | Facility | None | $489.78 | $2,041.74 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $501.19 | Professional | None | $416.87 | $489.78 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $245.47 Typical High $251.19 | Professional | 52 · Reduced service | $208.93 | $245.47 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $97.72 Typical High $100.00 | Professional | 53 · Discontinued | $83.18 | $97.72 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $371.54 Typical High $380.19 | Professional | 54 · Surgery only | $309.03 | $371.54 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $74.13 Typical High $75.86 | Professional | 55 · Aftercare only | $61.66 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $48.98 Typical High $50.12 | Professional | 56 · Pre-op care only | $41.69 | $48.98 | $50.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
BCBS Michigan Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $501.19 | Professional | None | $478.63 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $588.84 Typical High $758.58 | Professional | None | $281.84 | $588.84 | $758.58 |
Health Alliance Plan Setting Facility Modifier None Typical Low $512.86 Median $1,348.96 Typical High $4,897.79 | Facility | None | $512.86 | $1,348.96 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $630.96 | Professional | None | $416.87 | $512.86 | $630.96 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $229.09 | $257.04 | $257.04 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $91.20 | $102.33 | $102.33 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $380.19 Typical High $380.19 | Professional | 54 · Surgery only | $346.74 | $380.19 | $380.19 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $69.18 | $77.62 | $77.62 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $45.71 | $51.29 | $51.29 |
Priority Health Setting Professional Modifier None Typical Low $281.84 Median $562.34 Typical High $691.83 | Professional | None | $281.84 | $562.34 | $691.83 |
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 $446.68 Median $562.34 Typical High $758.58 | Professional | None | $446.68 | $562.34 | $758.58 |
Where Michigan sits
The same service costs 27.0 times more in Alabama than in Maryland. 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 $15,422MD $571
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.