How much rates vary
Facilitymedian $1,738 · 10th to 90th $617 to $3,715Professionalmedian $200 · 10th to 90th $40 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 $177.83 Median $295.12 Typical High $4,897.79 | Facility | None | $177.83 | $295.12 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $295.12 | Professional | None | $177.83 | $208.93 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $104.71 Typical High $147.91 | Professional | 52 · Reduced service | $89.13 | $104.71 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $41.69 Typical High $58.88 | Professional | 53 · Discontinued | $35.48 | $41.69 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $158.49 Typical High $218.78 | Professional | 54 · Surgery only | $134.90 | $158.49 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $31.62 Typical High $43.65 | Professional | 55 · Aftercare only | $26.92 | $31.62 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $20.89 Typical High $29.51 | Professional | 56 · Pre-op care only | $17.78 | $20.89 | $29.51 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $147.91 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $125.89 | $147.91 | $204.17 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,737.80 Median $1,778.28 Typical High $3,090.30 | Facility | None | $1,737.80 | $1,778.28 | $3,090.30 |
BCBS Michigan Setting Professional Modifier None Typical Low $33.88 Median $190.55 Typical High $199.53 | Professional | None | $33.88 | $190.55 | $199.53 |
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 $134.90 Median $213.80 Typical High $346.74 | Professional | None | $134.90 | $213.80 | $346.74 |
Health Alliance Plan Setting Facility Modifier None Typical Low $302.00 Median $1,412.54 Typical High $4,897.79 | Facility | None | $302.00 | $1,412.54 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $177.83 Median $288.40 Typical High $302.00 | Professional | None | $177.83 | $288.40 | $302.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $97.72 Typical High $151.36 | Professional | 52 · Reduced service | $89.13 | $97.72 | $151.36 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.90 Typical High $60.26 | Professional | 53 · Discontinued | $35.48 | $38.90 | $60.26 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $147.91 Typical High $223.87 | Professional | 54 · Surgery only | $134.90 | $147.91 | $223.87 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $29.51 Typical High $44.67 | Professional | 55 · Aftercare only | $26.92 | $29.51 | $44.67 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $19.50 Typical High $30.20 | Professional | 56 · Pre-op care only | $17.78 | $19.50 | $30.20 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $138.04 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $125.89 | $138.04 | $208.93 |
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 $128.82 Median $204.17 Typical High $331.13 | Professional | None | $128.82 | $204.17 | $331.13 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $5,248.07 | Facility | None | $602.56 | $1,230.27 | $5,248.07 |
United Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $323.59 | Professional | None | $165.96 | $218.78 | $323.59 |
Where Michigan sits
The same service costs 8.6 times more in Colorado than in North Dakota. 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 $4,622ND $540
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.