How much rates vary
Facilitymedian $832 · 10th to 90th $617 to $3,236Professionalmedian $562 · 10th to 90th $229 to $933
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 $245.47 Median $741.31 Typical High $4,897.79 | Facility | None | $245.47 | $741.31 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $562.34 Typical High $776.25 | Professional | None | $245.47 | $562.34 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $281.84 Typical High $389.05 | Professional | 52 · Reduced service | $123.03 | $281.84 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $112.20 Typical High $154.88 | Professional | 53 · Discontinued | $48.98 | $112.20 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $416.87 Typical High $588.84 | Professional | 54 · Surgery only | $186.21 | $416.87 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $83.18 Typical High $117.49 | Professional | 55 · Aftercare only | $37.15 | $83.18 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $60.26 Typical High $77.62 | Professional | 56 · Pre-op care only | $24.55 | $60.26 | $77.62 |
BCBS Michigan Setting Facility Modifier None Typical Low $616.60 Median $630.96 Typical High $1,071.52 | Facility | None | $616.60 | $630.96 | $1,071.52 |
BCBS Michigan Setting Professional Modifier None Typical Low $48.98 Median $245.47 Typical High $954.99 | Professional | None | $48.98 | $245.47 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $331.13 Typical High $1,071.52 | Professional | None | $190.55 | $331.13 | $1,071.52 |
Health Alliance Plan Setting Facility Modifier None Typical Low $602.56 Median $1,412.54 Typical High $4,897.79 | Facility | None | $602.56 | $1,412.54 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $245.47 Median $660.69 Typical High $831.76 | Professional | None | $245.47 | $660.69 | $831.76 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $125.89 Typical High $398.11 | Professional | 52 · Reduced service | $120.23 | $125.89 | $398.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $50.12 Typical High $158.49 | Professional | 53 · Discontinued | $47.86 | $50.12 | $158.49 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $186.21 Typical High $588.84 | Professional | 54 · Surgery only | $177.83 | $186.21 | $588.84 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $37.15 Typical High $117.49 | Professional | 55 · Aftercare only | $35.48 | $37.15 | $117.49 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $25.12 Typical High $79.43 | Professional | 56 · Pre-op care only | $23.99 | $25.12 | $79.43 |
Priority Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Priority Health Setting Professional Modifier None Typical Low $134.90 Median $407.38 Typical High $1,071.52 | Professional | None | $134.90 | $407.38 | $1,071.52 |
United Setting Facility Modifier None Typical Low $660.69 Median $1,548.82 Typical High $6,456.54 | Facility | None | $660.69 | $1,548.82 | $6,456.54 |
United Setting Professional Modifier None Typical Low $234.42 Median $602.56 Typical High $933.25 | Professional | None | $234.42 | $602.56 | $933.25 |
Where Michigan sits
The same service costs 6.9 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 $7,377MT $1,063
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.