How much rates vary
Facilitymedian $1,479 · 10th to 90th $331 to $3,162Professionalmedian $269 · 10th to 90th $166 to $617
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 $588.84 Typical High $4,073.80 | Facility | None | $245.47 | $588.84 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $302.00 Typical High $588.84 | Professional | None | $245.47 | $302.00 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $213.80 Typical High $295.12 | Professional | 52 · Reduced service | $123.03 | $213.80 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $89.13 Typical High $117.49 | Professional | 53 · Discontinued | $48.98 | $89.13 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $331.13 Typical High $446.68 | Professional | 54 · Surgery only | $181.97 | $331.13 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $66.07 Typical High $89.13 | Professional | 55 · Aftercare only | $36.31 | $66.07 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $44.67 Typical High $58.88 | Professional | 56 · Pre-op care only | $24.55 | $44.67 | $58.88 |
Ambetter Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $2,630.27 | Facility | None | $1,479.11 | $1,513.56 | $2,630.27 |
BCBS Michigan Setting Professional Modifier None Typical Low $53.70 Median $251.19 Typical High $288.40 | Professional | None | $53.70 | $251.19 | $288.40 |
CareSource Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $707.95 | Professional | None | $426.58 | $588.84 | $707.95 |
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 $199.53 Median $363.08 Typical High $812.83 | Professional | None | $199.53 | $363.08 | $812.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $251.19 Median $676.08 Typical High $3,981.07 | Facility | None | $251.19 | $676.08 | $3,981.07 |
Health Alliance Plan Setting Professional Modifier None Typical Low $229.09 Median $295.12 Typical High $616.60 | Professional | None | $229.09 | $295.12 | $616.60 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $147.91 Typical High $309.03 | Professional | 52 · Reduced service | $123.03 | $147.91 | $309.03 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $58.88 Typical High $123.03 | Professional | 53 · Discontinued | $48.98 | $58.88 | $123.03 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $218.78 Typical High $457.09 | Professional | 54 · Surgery only | $186.21 | $218.78 | $457.09 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $43.65 Typical High $93.33 | Professional | 55 · Aftercare only | $37.15 | $43.65 | $93.33 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $29.51 Typical High $61.66 | Professional | 56 · Pre-op care only | $24.55 | $29.51 | $61.66 |
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 $181.97 Median $371.54 Typical High $741.31 | Professional | None | $181.97 | $371.54 | $741.31 |
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 $245.47 Median $331.13 Typical High $660.69 | Professional | None | $245.47 | $331.13 | $660.69 |
Where Michigan sits
The same service costs 4.1 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 $4,142MT $1,002
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.