How much rates vary
Facilitymedian $3,236 · 10th to 90th $891 to $6,310Professionalmedian $617 · 10th to 90th $479 to $891
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 $501.19 Median $660.69 Typical High $6,918.31 | Facility | None | $501.19 | $660.69 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $537.03 Typical High $676.08 | Professional | None | $501.19 | $537.03 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $269.15 Typical High $338.84 | Professional | 52 · Reduced service | $251.19 | $269.15 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $107.15 Typical High $138.04 | Professional | 53 · Discontinued | $100.00 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $407.38 Typical High $512.86 | Professional | 54 · Surgery only | $380.19 | $407.38 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $81.28 Typical High $102.33 | Professional | 55 · Aftercare only | $75.86 | $81.28 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $53.70 Typical High $67.61 | Professional | 56 · Pre-op care only | $50.12 | $53.70 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $380.19 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $354.81 | $380.19 | $478.63 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,235.94 Median $3,311.31 Typical High $5,623.41 | Facility | None | $3,235.94 | $3,311.31 | $5,623.41 |
BCBS Michigan Setting Professional Modifier None Typical Low $371.54 Median $588.84 Typical High $891.25 | Professional | None | $371.54 | $588.84 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $575.44 Typical High $794.33 | Professional | None | $363.08 | $575.44 | $794.33 |
Health Alliance Plan Setting Facility Modifier None Typical Low $645.65 Median $2,570.40 Typical High $4,897.79 | Facility | None | $645.65 | $2,570.40 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $812.83 | Professional | None | $489.78 | $645.65 | $812.83 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $251.19 Typical High $338.84 | Professional | 52 · Reduced service | $245.47 | $251.19 | $338.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $102.33 Typical High $134.90 | Professional | 53 · Discontinued | $97.72 | $102.33 | $134.90 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $380.19 Typical High $501.19 | Professional | 54 · Surgery only | $363.08 | $380.19 | $501.19 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $75.86 Typical High $100.00 | Professional | 55 · Aftercare only | $72.44 | $75.86 | $100.00 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $51.29 Typical High $67.61 | Professional | 56 · Pre-op care only | $48.98 | $51.29 | $67.61 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $354.81 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $338.84 | $354.81 | $467.74 |
Priority Health Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Priority Health Setting Professional Modifier None Typical Low $363.08 Median $575.44 Typical High $776.25 | Professional | None | $363.08 | $575.44 | $776.25 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,238.72 Typical High $7,943.28 | Facility | None | $851.14 | $2,238.72 | $7,943.28 |
United Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $794.33 | Professional | None | $489.78 | $616.60 | $794.33 |
Where Michigan sits
The same service costs 6.1 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $9,157MT $1,508
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.