How much rates vary
Facilitymedian $155 · 10th to 90th $51 to $407Professionalmedian $72 · 10th to 90th $44 to $93
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 $53.70 Median $91.20 Typical High $91.20 | Facility | None | $53.70 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $91.20 | Professional | None | $53.70 | $53.70 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $26.92 Typical High $45.71 | Professional | 52 · Reduced service | $26.92 | $26.92 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $18.20 | Professional | 53 · Discontinued | $10.72 | $10.72 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $7.94 Typical High $13.80 | Professional | 55 · Aftercare only | $7.94 | $7.94 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $9.12 | Professional | 56 · Pre-op care only | $5.37 | $5.37 | $9.12 |
BCBS Setting Facility Modifier None Typical Low $109.65 Median $269.15 Typical High $512.86 | Facility | None | $109.65 | $269.15 | $512.86 |
BCBS Setting Professional Modifier None Typical Low $87.10 Median $91.20 Typical High $91.20 | Professional | None | $87.10 | $91.20 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $51.29 Typical High $102.33 | Professional | None | $37.15 | $51.29 | $102.33 |
Health Alliance Plan Setting Facility Modifier None Typical Low $52.48 Median $177.83 Typical High $194.98 | Facility | None | $52.48 | $177.83 | $194.98 |
Health Alliance Plan Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $93.33 | Professional | None | $52.48 | $72.44 | $93.33 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $26.30 | $26.30 | $26.30 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $10.47 | $10.47 | $10.47 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 55 · Aftercare only | $7.94 | $7.94 | $7.94 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 56 · Pre-op care only | $5.25 | $5.25 | $5.25 |
Priority Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Priority Health Setting Professional Modifier None Typical Low $37.15 Median $51.29 Typical High $91.20 | Professional | None | $37.15 | $51.29 | $91.20 |
United Setting Facility Modifier None Typical Low $95.50 Median $112.20 Typical High $134.90 | Facility | None | $95.50 | $112.20 | $134.90 |
United Setting Professional Modifier None Typical Low $33.88 Median $43.65 Typical High $63.10 | Professional | None | $33.88 | $43.65 | $63.10 |
Where Michigan sits
The same service costs 2.6 times more in Montana than in Delaware. 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· 15th of 51
$72.44
MT $97.72DE $37.15
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.