How much rates vary
Facilitymedian $1,122 · 10th to 90th $490 to $2,399Professionalmedian $219 · 10th to 90th $44 to $275
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 $2,041.74 Typical High $4,897.79 | Facility | None | $218.78 | $2,041.74 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | 52 · Reduced service | $107.15 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 54 · Surgery only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $21.88 |
BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,148.15 Typical High $1,995.26 | Facility | None | $1,122.02 | $1,148.15 | $1,995.26 |
BCBS Setting Professional Modifier None Typical Low $38.90 Median $229.09 Typical High $229.09 | Professional | None | $38.90 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $213.80 Typical High $363.08 | Professional | None | $138.04 | $213.80 | $363.08 |
Health Alliance Plan Setting Facility Modifier None Typical Low $457.09 Median $660.69 Typical High $4,897.79 | Facility | None | $457.09 | $660.69 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $257.04 | Professional | None | $181.97 | $213.80 | $257.04 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $43.65 | $43.65 | $43.65 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 54 · Surgery only | $162.18 | $162.18 | $162.18 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $32.36 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
Priority Health Setting Professional Modifier None Typical Low $131.83 Median $208.93 Typical High $338.84 | Professional | None | $131.83 | $208.93 | $338.84 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,235.94 | Facility | None | $426.58 | $602.56 | $3,235.94 |
United Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $302.00 | Professional | None | $190.55 | $257.04 | $302.00 |
Where Michigan sits
The same service costs 8.9 times more in Colorado than in West Virginia. 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 $4,215WV $472
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.