How much rates vary
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 $223.87 Median $223.87 Typical High $229.09 | Facility | None | $223.87 | $223.87 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $229.09 | Professional | None | $190.55 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $112.20 Typical High $114.82 | Professional | 52 · Reduced service | $95.50 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $44.67 Typical High $45.71 | Professional | 53 · Discontinued | $38.02 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $33.88 Typical High $34.67 | Professional | 55 · Aftercare only | $28.18 | $33.88 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $22.39 Typical High $22.91 | Professional | 56 · Pre-op care only | $19.05 | $22.39 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $331.13 | Professional | None | $181.97 | $263.03 | $331.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $208.93 Median $501.19 Typical High $549.54 | Facility | None | $208.93 | $501.19 | $549.54 |
Health Alliance Plan Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $213.80 | Professional | None | $154.88 | $208.93 | $213.80 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $104.71 | $107.15 | $107.15 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $31.62 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $20.89 | $21.38 | $21.38 |
Priority Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $263.03 | Professional | None | $181.97 | $181.97 | $263.03 |
United Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $257.04 | Professional | None | $199.53 | $223.87 | $257.04 |
Where Michigan sits
The same service costs 6.6 times more in Alabama than in New York. 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· 27th of 51
$214
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.