How much rates vary
Facilitymedian $1,122 · 10th to 90th $513 to $2,884Professionalmedian $251 · 10th to 90th $182 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 $251.19 Median $2,884.03 Typical High $4,897.79 | Facility | None | $251.19 | $2,884.03 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $125.89 | Professional | 52 · Reduced service | $123.03 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 54 · Surgery only | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $25.12 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $25.12 |
BCBS Michigan 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 Michigan Setting Professional Modifier None Typical Low $52.48 Median $263.03 Typical High $263.03 | Professional | None | $52.48 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $407.38 | Professional | None | $158.49 | $239.88 | $407.38 |
Health Alliance Plan Setting Facility Modifier None Typical Low $501.19 Median $660.69 Typical High $4,897.79 | Facility | None | $501.19 | $660.69 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $204.17 Median $245.47 Typical High $288.40 | Professional | None | $204.17 | $245.47 | $288.40 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $123.03 | $123.03 | $123.03 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 54 · Surgery only | $186.21 | $186.21 | $186.21 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $37.15 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $24.55 |
Priority Health Setting Professional Modifier None Typical Low $147.91 Median $234.42 Typical High $371.54 | Professional | None | $147.91 | $234.42 | $371.54 |
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 $218.78 Median $288.40 Typical High $338.84 | Professional | None | $218.78 | $288.40 | $338.84 |
Where Michigan sits
The same service costs 7.3 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 $4,337MT $597
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.