How much rates vary
Facilitymedian $309 · 10th to 90th $3 to $347Professionalmedian $110 · 10th to 90th $3 to $155
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 52 · Reduced service | $1.51 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $19.95 Typical High $25.12 | Professional | 53 · Discontinued | $14.45 | $19.95 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $15.14 Typical High $18.62 | Professional | 55 · Aftercare only | $10.96 | $15.14 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $10.00 Typical High $12.30 | Professional | 56 · Pre-op care only | $7.24 | $10.00 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $147.91 | Professional | None | $102.33 | $102.33 | $147.91 |
Health Alliance Plan Setting Facility Modifier None Typical Low $93.33 Median $316.23 Typical High $346.74 | Facility | None | $93.33 | $316.23 | $346.74 |
Health Alliance Plan Setting Professional Modifier None Typical Low $93.33 Median $117.49 Typical High $154.88 | Professional | None | $93.33 | $117.49 | $154.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $46.77 | $54.95 | $54.95 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $18.62 | $21.88 | $21.88 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $13.80 | $16.60 | $16.60 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $9.33 | $10.96 | $10.96 |
Priority Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Where Michigan sits
The same service costs 83.2 times more in North Dakota than in Kansas. 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· 21st of 51
$110
ND $251KS $3.02
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.