How much rates vary
Facilitymedian $977 · 10th to 90th $525 to $2,570Professionalmedian $245 · 10th to 90th $148 to $562
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 $213.80 Median $537.03 Typical High $4,897.79 | Facility | None | $213.80 | $537.03 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $537.03 | Professional | None | $213.80 | $239.88 | $537.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $199.53 Typical High $269.15 | Professional | 52 · Reduced service | $107.15 | $199.53 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $81.28 Typical High $107.15 | Professional | 53 · Discontinued | $42.66 | $81.28 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $302.00 Typical High $407.38 | Professional | 54 · Surgery only | $162.18 | $302.00 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $60.26 Typical High $81.28 | Professional | 55 · Aftercare only | $32.36 | $60.26 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $40.74 Typical High $53.70 | Professional | 56 · Pre-op care only | $21.38 | $40.74 | $53.70 |
Ambetter Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
BCBS Michigan Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,698.24 | Facility | None | $977.24 | $977.24 | $1,698.24 |
BCBS Michigan Setting Professional Modifier None Typical Low $46.77 Median $223.87 Typical High $251.19 | Professional | None | $46.77 | $223.87 | $251.19 |
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 $173.78 Median $331.13 Typical High $741.31 | Professional | None | $173.78 | $331.13 | $741.31 |
Health Alliance Plan Setting Facility Modifier None Typical Low $489.78 Median $707.95 Typical High $4,897.79 | Facility | None | $489.78 | $707.95 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $199.53 Median $257.04 Typical High $562.34 | Professional | None | $199.53 | $257.04 | $562.34 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $128.82 Typical High $281.84 | Professional | 52 · Reduced service | $107.15 | $128.82 | $281.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $51.29 Typical High $112.20 | Professional | 53 · Discontinued | $42.66 | $51.29 | $112.20 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $190.55 Typical High $416.87 | Professional | 54 · Surgery only | $162.18 | $190.55 | $416.87 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $38.02 Typical High $83.18 | Professional | 55 · Aftercare only | $32.36 | $38.02 | $83.18 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $25.70 Typical High $56.23 | Professional | 56 · Pre-op care only | $21.38 | $25.70 | $56.23 |
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 $158.49 Median $331.13 Typical High $616.60 | Professional | None | $158.49 | $331.13 | $616.60 |
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 $213.80 Median $281.84 Typical High $602.56 | Professional | None | $213.80 | $281.84 | $602.56 |
Where Michigan sits
The same service costs 5.4 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 $4,173WV $767
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.