How much rates vary
Facilitymedian $275 · 10th to 90th $178 to $525Professionalmedian $331 · 10th to 90th $219 to $525
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 $302.00 Median $302.00 Typical High $524.81 | Facility | None | $302.00 | $302.00 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $870.96 | Professional | None | $302.00 | $302.00 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $263.03 | Professional | 52 · Reduced service | $151.36 | $151.36 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $104.71 | Professional | 53 · Discontinued | $60.26 | $60.26 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $79.43 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $52.48 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $52.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $169.82 Median $194.98 Typical High $275.42 | Facility | None | $169.82 | $194.98 | $275.42 |
BCBS Michigan Setting Professional Modifier None Typical Low $93.33 Median $331.13 Typical High $346.74 | Professional | None | $93.33 | $331.13 | $346.74 |
CareSource Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $524.81 | Professional | None | $354.81 | $416.87 | $524.81 |
Health Alliance Plan Setting Facility Modifier None Typical Low $302.00 Median $1,023.29 Typical High $1,122.02 | Facility | None | $302.00 | $1,023.29 | $1,122.02 |
Health Alliance Plan Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $537.03 | Professional | None | $302.00 | $416.87 | $537.03 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $151.36 | $151.36 | $151.36 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $60.26 | $60.26 | $60.26 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $44.67 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $30.20 |
Priority Health Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Priority Health Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $524.81 | Professional | None | $354.81 | $416.87 | $524.81 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $194.98 Median $251.19 Typical High $363.08 | Professional | None | $194.98 | $251.19 | $363.08 |
Where Michigan sits
The same service costs 2.5 times more in Montana 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· 40th of 51
$331
MT $550NY $219
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.