How much rates vary
Facilitymedian $380 · 10th to 90th $178 to $1,288Professionalmedian $234 · 10th to 90th $138 to $302
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 $173.78 Median $295.12 Typical High $295.12 | Facility | None | $173.78 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $295.12 | Professional | None | $173.78 | $173.78 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $147.91 | Professional | 52 · Reduced service | $87.10 | $87.10 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $58.88 | Professional | 53 · Discontinued | $34.67 | $34.67 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $44.67 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $29.51 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $29.51 |
BCBS Michigan Setting Facility Modifier None Typical Low $354.81 Median $870.96 Typical High $1,659.59 | Facility | None | $354.81 | $870.96 | $1,659.59 |
BCBS Michigan Setting Professional Modifier None Typical Low $281.84 Median $295.12 Typical High $295.12 | Professional | None | $281.84 | $295.12 | $295.12 |
CareSource Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $323.59 | Professional | None | $138.04 | $190.55 | $323.59 |
Health Alliance Plan Setting Facility Modifier None Typical Low $169.82 Median $575.44 Typical High $630.96 | Facility | None | $169.82 | $575.44 | $630.96 |
Health Alliance Plan Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $302.00 | Professional | None | $169.82 | $223.87 | $302.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $25.70 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $16.98 |
Priority Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Priority Health Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $295.12 | Professional | None | $138.04 | $190.55 | $295.12 |
United Setting Facility Modifier None Typical Low $147.91 Median $151.36 Typical High $354.81 | Facility | None | $147.91 | $151.36 | $354.81 |
United Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $199.53 | Professional | None | $109.65 | $138.04 | $199.53 |
Where Michigan sits
The same service costs 2.3 times more in Hawaii 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.
Michigan· 12th of 51
$240
HI $324NJ $138
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.