How much rates vary
Facilitymedian $891 · 10th to 90th $468 to $2,042Professionalmedian $331 · 10th to 90th $50 to $813
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 $229.09 Median $660.69 Typical High $4,897.79 | Facility | None | $229.09 | $660.69 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $489.78 Typical High $660.69 | Professional | None | $229.09 | $489.78 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $245.47 Typical High $331.13 | Professional | 52 · Reduced service | $114.82 | $245.47 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $100.00 Typical High $131.83 | Professional | 53 · Discontinued | $45.71 | $100.00 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $371.54 Typical High $489.78 | Professional | 54 · Surgery only | $169.82 | $371.54 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $74.13 Typical High $97.72 | Professional | 55 · Aftercare only | $33.88 | $74.13 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $48.98 Typical High $66.07 | Professional | 56 · Pre-op care only | $22.91 | $48.98 | $66.07 |
BCBS Michigan Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,548.82 | Facility | None | $891.25 | $891.25 | $1,548.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $251.19 | Professional | None | $42.66 | $50.12 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $426.58 Typical High $912.01 | Professional | None | $173.78 | $426.58 | $912.01 |
Health Alliance Plan Setting Facility Modifier None Typical Low $467.74 Median $1,479.11 Typical High $4,897.79 | Facility | None | $467.74 | $1,479.11 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $229.09 Median $691.83 Typical High $776.25 | Professional | None | $229.09 | $691.83 | $776.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $138.04 Typical High $346.74 | Professional | 52 · Reduced service | $114.82 | $138.04 | $346.74 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $54.95 Typical High $138.04 | Professional | 53 · Discontinued | $45.71 | $54.95 | $138.04 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $204.17 Typical High $512.86 | Professional | 54 · Surgery only | $173.78 | $204.17 | $512.86 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $41.69 Typical High $102.33 | Professional | 55 · Aftercare only | $34.67 | $41.69 | $102.33 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $27.54 Typical High $69.18 | Professional | 56 · Pre-op care only | $22.91 | $27.54 | $69.18 |
Priority Health Setting Professional Modifier None Typical Low $144.54 Median $407.38 Typical High $724.44 | Professional | None | $144.54 | $407.38 | $724.44 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,162.28 | Facility | None | $426.58 | $602.56 | $3,162.28 |
United Setting Professional Modifier None Typical Low $229.09 Median $489.78 Typical High $977.24 | Professional | None | $229.09 | $489.78 | $977.24 |
Where Michigan sits
The same service costs 4.8 times more in Colorado than in Maryland. 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 $4,327MD $911
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.