How much rates vary
Facilitymedian $166 · 10th to 90th $74 to $339Professionalmedian $59 · 10th to 90th $35 to $74
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 $66.07 Median $66.07 Typical High $69.18 | Facility | None | $66.07 | $66.07 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $69.18 | Professional | None | $66.07 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $33.11 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.18 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $52.48 Typical High $52.48 | Professional | 54 · Surgery only | $50.12 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.47 Typical High $10.47 | Professional | 55 · Aftercare only | $10.00 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.92 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.61 | $6.92 | $6.92 |
BCBS Michigan Setting Facility Modifier None Typical Low $87.10 Median $208.93 Typical High $389.05 | Facility | None | $87.10 | $208.93 | $389.05 |
BCBS Michigan Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $74.13 | Professional | None | $70.79 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $43.65 Typical High $43.65 | Professional | None | $30.90 | $43.65 | $43.65 |
Health Alliance Plan Setting Facility Modifier None Typical Low $56.23 Median $134.90 Typical High $147.91 | Facility | None | $56.23 | $134.90 | $147.91 |
Health Alliance Plan Setting Professional Modifier None Typical Low $50.12 Median $56.23 Typical High $67.61 | Professional | None | $50.12 | $56.23 | $67.61 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $28.18 | $28.18 | $28.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $11.22 | $11.22 | $11.22 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 54 · Surgery only | $41.69 | $41.69 | $41.69 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $8.51 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $5.62 |
Priority Health Setting Professional Modifier None Typical Low $30.90 Median $43.65 Typical High $43.65 | Professional | None | $30.90 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $26.30 Median $34.67 Typical High $42.66 | Professional | None | $26.30 | $34.67 | $42.66 |
Where Michigan sits
The same service costs 2.8 times more in Hawaii 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· 13th of 51
$63.10
HI $81.28NY $29.51
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.