How much rates vary
Facilitymedian $112 · 10th to 90th $48 to $309Professionalmedian $37 · 10th to 90th $25 to $54
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 $26.92 Median $33.88 Typical High $48.98 | Facility | None | $26.92 | $33.88 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $40.74 Typical High $50.12 | Professional | None | $26.92 | $40.74 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $6.03 Typical High $7.08 | Professional | 55 · Aftercare only | $4.07 | $6.03 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $4.17 Typical High $4.79 | Professional | 56 · Pre-op care only | $2.69 | $4.17 | $4.79 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $16.60 | Professional | None | $14.13 | $16.60 | $16.60 |
BCBS Michigan Setting Facility Modifier None Typical Low $87.10 Median $112.20 Typical High $245.47 | Facility | None | $87.10 | $112.20 | $245.47 |
BCBS Michigan Setting Professional Modifier None Typical Low $6.03 Median $32.36 Typical High $37.15 | Professional | None | $6.03 | $32.36 | $37.15 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $69.18 | Facility | None | $41.69 | $41.69 | $69.18 |
CareSource Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $29.51 Typical High $63.10 | Professional | None | $17.38 | $29.51 | $63.10 |
Health Alliance Plan Setting Facility Modifier None Typical Low $27.54 Median $173.78 Typical High $501.19 | Facility | None | $27.54 | $173.78 | $501.19 |
Health Alliance Plan Setting Professional Modifier None Typical Low $28.18 Median $47.86 Typical High $54.95 | Professional | None | $28.18 | $47.86 | $54.95 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $5.25 Typical High $7.41 | Professional | 55 · Aftercare only | $4.37 | $5.25 | $7.41 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.55 Typical High $4.90 | Professional | 56 · Pre-op care only | $2.88 | $3.55 | $4.90 |
Priority Health Setting Professional Modifier None Typical Low $16.60 Median $29.51 Typical High $63.10 | Professional | None | $16.60 | $29.51 | $63.10 |
United Setting Facility Modifier None Typical Low $204.17 Median $269.15 Typical High $562.34 | Facility | None | $204.17 | $269.15 | $562.34 |
United Setting Professional Modifier None Typical Low $22.91 Median $33.11 Typical High $41.69 | Professional | None | $22.91 | $33.11 | $41.69 |
Where Michigan sits
The same service costs 86.3 times more in Connecticut than in New Jersey. 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
CT $4,814NJ $55.76
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.