How much rates vary
Facilitymedian $1,778 · 10th to 90th $490 to $3,715Professionalmedian $269 · 10th to 90th $174 to $309
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 $275.42 Median $707.95 Typical High $5,754.40 | Facility | None | $275.42 | $707.95 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $281.84 Typical High $288.40 | Professional | None | $223.87 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $141.25 Typical High $144.54 | Professional | 52 · Reduced service | $125.89 | $141.25 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $56.23 Typical High $57.54 | Professional | 53 · Discontinued | $50.12 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $213.80 Typical High $218.78 | Professional | 54 · Surgery only | $186.21 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $42.66 Typical High $43.65 | Professional | 55 · Aftercare only | $37.15 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $28.18 Typical High $28.84 | Professional | 56 · Pre-op care only | $25.12 | $28.18 | $28.84 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,778.28 Median $1,819.70 Typical High $3,090.30 | Facility | None | $1,778.28 | $1,819.70 | $3,090.30 |
BCBS Michigan Setting Professional Modifier None Typical Low $53.70 Median $173.78 Typical High $281.84 | Professional | None | $53.70 | $173.78 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $281.84 Typical High $741.31 | Professional | None | $158.49 | $281.84 | $741.31 |
Health Alliance Plan Setting Facility Modifier None Typical Low $281.84 Median $1,202.26 Typical High $4,897.79 | Facility | None | $281.84 | $1,202.26 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $218.78 Median $275.42 Typical High $331.13 | Professional | None | $218.78 | $275.42 | $331.13 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $134.90 | $141.25 | $141.25 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $53.70 | $56.23 | $56.23 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $208.93 Typical High $208.93 | Professional | 54 · Surgery only | $204.17 | $208.93 | $208.93 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $40.74 | $41.69 | $41.69 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $26.92 | $28.18 | $28.18 |
Priority Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Priority Health Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $645.65 | Professional | None | $158.49 | $245.47 | $645.65 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $4,786.30 | Facility | None | $426.58 | $602.56 | $4,786.30 |
United Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $354.81 | Professional | None | $239.88 | $263.03 | $354.81 |
Where Michigan sits
The same service costs 9.4 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 $5,932MT $632
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.