How much rates vary
Facilitymedian $2,188 · 10th to 90th $457 to $4,074Professionalmedian $195 · 10th to 90th $42 to $240
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 $194.98 Median $2,884.03 Typical High $4,897.79 | Facility | None | $194.98 | $2,884.03 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $194.98 | Professional | None | $190.55 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | 52 · Reduced service | $95.50 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | 53 · Discontinued | $38.02 | $38.02 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 54 · Surgery only | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.05 Typical High $19.50 | Professional | 56 · Pre-op care only | $19.05 | $19.05 | $19.50 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,187.76 Median $2,238.72 Typical High $3,801.89 | Facility | None | $2,187.76 | $2,238.72 | $3,801.89 |
BCBS Michigan Setting Professional Modifier None Typical Low $35.48 Median $199.53 Typical High $208.93 | Professional | None | $35.48 | $199.53 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $316.23 | Professional | None | $125.89 | $190.55 | $316.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $4,897.79 | Facility | None | $380.19 | $501.19 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $213.80 | Professional | None | $151.36 | $194.98 | $213.80 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $97.72 | $97.72 | $97.72 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 54 · Surgery only | $147.91 | $147.91 | $147.91 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $29.51 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $19.50 |
Priority Health Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $302.00 | Professional | None | $120.23 | $186.21 | $302.00 |
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 $177.83 Median $229.09 Typical High $275.42 | Professional | None | $177.83 | $229.09 | $275.42 |
Where Michigan sits
The same service costs 11.1 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 $5,221MT $469
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.