How much rates vary
Facilitymedian $912 · 10th to 90th $490 to $2,399Professionalmedian $224 · 10th to 90th $178 to $355
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 $218.78 Median $2,884.03 Typical High $4,897.79 | Facility | None | $218.78 | $2,884.03 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $229.09 | Professional | None | $204.17 | $218.78 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $109.65 Typical High $114.82 | Professional | 52 · Reduced service | $102.33 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $43.65 Typical High $45.71 | Professional | 53 · Discontinued | $40.74 | $43.65 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $165.96 Typical High $173.78 | Professional | 54 · Surgery only | $151.36 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $33.11 Typical High $34.67 | Professional | 55 · Aftercare only | $30.20 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $21.88 Typical High $22.91 | Professional | 56 · Pre-op care only | $20.42 | $21.88 | $22.91 |
BCBS Michigan Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,584.89 | Facility | None | $912.01 | $912.01 | $1,584.89 |
BCBS Michigan Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $354.81 | Professional | None | $234.42 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $602.56 | Professional | None | $123.03 | $229.09 | $602.56 |
Health Alliance Plan Setting Facility Modifier None Typical Low $446.68 Median $588.84 Typical High $4,897.79 | Facility | None | $446.68 | $588.84 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $177.83 Median $223.87 Typical High $269.15 | Professional | None | $177.83 | $223.87 | $269.15 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $107.15 | $112.20 | $112.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $42.66 | $44.67 | $44.67 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $165.96 Typical High $165.96 | Professional | 54 · Surgery only | $162.18 | $165.96 | $165.96 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $32.36 | $33.11 | $33.11 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $22.39 Typical High $22.39 | Professional | 56 · Pre-op care only | $21.38 | $22.39 | $22.39 |
Priority Health Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Priority Health Setting Professional Modifier None Typical Low $123.03 Median $208.93 Typical High $524.81 | Professional | None | $123.03 | $208.93 | $524.81 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,162.28 | Facility | None | $426.58 | $602.56 | $3,162.28 |
United Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $295.12 | Professional | None | $194.98 | $218.78 | $295.12 |
Where Michigan sits
The same service costs 9.2 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 $4,822MT $526
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.