How much rates vary
Facilitymedian $120 · 10th to 90th $93 to $240Professionalmedian $93 · 10th to 90th $36 to $115
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $83.18 Typical High $93.33 | Professional | None | $74.13 | $83.18 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $41.69 Typical High $46.77 | Professional | 52 · Reduced service | $37.15 | $41.69 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.60 Typical High $18.62 | Professional | 53 · Discontinued | $14.79 | $16.60 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $12.59 Typical High $14.13 | Professional | 55 · Aftercare only | $11.22 | $12.59 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.32 Typical High $9.33 | Professional | 56 · Pre-op care only | $7.41 | $8.32 | $9.33 |
BCBS Michigan Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $109.65 Median $114.82 Typical High $114.82 | Professional | None | $109.65 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $165.96 | Professional | None | $42.66 | $42.66 | $165.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $93.33 Median $218.78 Typical High $239.88 | Facility | None | $93.33 | $218.78 | $239.88 |
Health Alliance Plan Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $93.33 | Professional | None | $69.18 | $93.33 | $93.33 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $37.15 | $46.77 | $46.77 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $14.79 | $18.62 | $18.62 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $11.22 | $14.13 | $14.13 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $7.41 | $9.33 | $9.33 |
Priority Health Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $134.90 | Professional | None | $42.66 | $42.66 | $134.90 |
United Setting Facility Modifier None Typical Low $102.33 Median $120.23 Typical High $144.54 | Facility | None | $102.33 | $120.23 | $144.54 |
United Setting Professional Modifier None Typical Low $10.00 Median $36.31 Typical High $69.18 | Professional | None | $10.00 | $36.31 | $69.18 |
Where Michigan sits
The same service costs 3.2 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· 6th of 51
$93.33
HI $135NY $41.69
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.