How much rates vary
Facilitymedian $166 · 10th to 90th $76 to $263Professionalmedian $74 · 10th to 90th $55 to $110
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 $75.86 Median $208.93 Typical High $234.42 | Facility | None | $75.86 | $208.93 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $426.58 | Professional | None | $75.86 | $75.86 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $213.80 | Professional | 52 · Reduced service | $38.02 | $38.02 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $87.10 | Professional | 53 · Discontinued | $15.14 | $15.14 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $64.57 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $42.66 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $42.66 |
BCBS Setting Facility Modifier None Typical Low $77.62 Median $151.36 Typical High $295.12 | Facility | None | $77.62 | $151.36 | $295.12 |
BCBS Setting Professional Modifier None Typical Low $52.48 Median $54.95 Typical High $54.95 | Professional | None | $52.48 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $109.65 | Professional | None | $72.44 | $109.65 | $109.65 |
Health Alliance Plan Setting Facility Modifier None Typical Low $104.71 Median $190.55 Typical High $234.42 | Facility | None | $104.71 | $190.55 | $234.42 |
Health Alliance Plan Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $97.72 | Professional | None | $58.88 | $74.13 | $97.72 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $11.48 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $7.59 |
Priority Health Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $112.20 | Professional | None | $72.44 | $109.65 | $112.20 |
United Setting Professional Modifier None Typical Low $29.51 Median $74.13 Typical High $83.18 | Professional | None | $29.51 | $74.13 | $83.18 |
Where Michigan sits
The same service costs 1.6 times more in Hawaii than in Virginia. 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· 18th of 51
$75.86
HI $115VA $72.44
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.