How much rates vary
Facilitymedian $2,630 · 10th to 90th $537 to $5,754Professionalmedian $195 · 10th to 90th $102 to $776
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 $100.00 Median $676.08 Typical High $4,897.79 | Facility | None | $100.00 | $676.08 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $190.55 Typical High $724.44 | Professional | None | $100.00 | $190.55 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $89.13 Typical High $363.08 | Professional | 52 · Reduced service | $50.12 | $89.13 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $35.48 Typical High $144.54 | Professional | 53 · Discontinued | $19.95 | $35.48 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $134.90 Typical High $537.03 | Professional | 54 · Surgery only | $75.86 | $134.90 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $26.92 Typical High $107.15 | Professional | 55 · Aftercare only | $15.14 | $26.92 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $17.78 Typical High $72.44 | Professional | 56 · Pre-op care only | $10.00 | $17.78 | $72.44 |
BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $3,090.30 Typical High $6,025.60 | Facility | None | $1,288.25 | $3,090.30 | $6,025.60 |
BCBS Setting Professional Modifier None Typical Low $112.20 Median $117.49 Typical High $1,174.90 | Professional | None | $112.20 | $117.49 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $245.47 Typical High $1,230.27 | Professional | None | $89.13 | $245.47 | $1,230.27 |
Health Alliance Plan Setting Facility Modifier None Typical Low $107.15 Median $575.44 Typical High $4,897.79 | Facility | None | $107.15 | $575.44 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $107.15 Median $245.47 Typical High $776.25 | Professional | None | $107.15 | $245.47 | $776.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $74.13 Typical High $389.05 | Professional | 52 · Reduced service | $53.70 | $74.13 | $389.05 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $30.20 Typical High $154.88 | Professional | 53 · Discontinued | $21.38 | $30.20 | $154.88 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $112.20 Typical High $575.44 | Professional | 54 · Surgery only | $79.43 | $112.20 | $575.44 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $22.39 Typical High $117.49 | Professional | 55 · Aftercare only | $15.85 | $22.39 | $117.49 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $15.14 Typical High $77.62 | Professional | 56 · Pre-op care only | $10.72 | $15.14 | $77.62 |
Priority Health Setting Professional Modifier None Typical Low $89.13 Median $245.47 Typical High $1,096.48 | Professional | None | $89.13 | $245.47 | $1,096.48 |
United Setting Facility Modifier None Typical Low $851.14 Median $4,265.80 Typical High $5,754.40 | Facility | None | $851.14 | $4,265.80 | $5,754.40 |
United Setting Professional Modifier None Typical Low $91.20 Median $165.96 Typical High $512.86 | Professional | None | $91.20 | $165.96 | $512.86 |
Where Michigan sits
The same service costs 9.5 times more in Washington 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.
Michigan· 38th of 51
$195
WA $933MD $97.72
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.