How much rates vary
Facilitymedian $1,514 · 10th to 90th $363 to $2,884Professionalmedian $219 · 10th to 90th $151 to $437
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 $151.36 Median $363.08 Typical High $4,897.79 | Facility | None | $151.36 | $363.08 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $281.84 Typical High $363.08 | Professional | None | $151.36 | $281.84 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $134.90 Typical High $181.97 | Professional | 52 · Reduced service | $75.86 | $134.90 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $54.95 Typical High $72.44 | Professional | 53 · Discontinued | $30.20 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $204.17 Typical High $269.15 | Professional | 54 · Surgery only | $112.20 | $204.17 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $40.74 Typical High $53.70 | Professional | 55 · Aftercare only | $22.39 | $40.74 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $27.54 Typical High $36.31 | Professional | 56 · Pre-op care only | $15.14 | $27.54 | $36.31 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $213.80 | Professional | None | $107.15 | $107.15 | $213.80 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,513.56 Median $1,548.82 Typical High $2,630.27 | Facility | None | $1,513.56 | $1,548.82 | $2,630.27 |
BCBS Michigan Setting Professional Modifier None Typical Low $158.49 Median $169.82 Typical High $181.97 | Professional | None | $158.49 | $169.82 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $251.19 Typical High $467.74 | Professional | None | $123.03 | $251.19 | $467.74 |
Health Alliance Plan Setting Facility Modifier None Typical Low $190.55 Median $812.83 Typical High $3,801.89 | Facility | None | $190.55 | $812.83 | $3,801.89 |
Health Alliance Plan Setting Professional Modifier None Typical Low $151.36 Median $371.54 Typical High $436.52 | Professional | None | $151.36 | $371.54 | $436.52 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $114.82 Typical High $186.21 | Professional | 52 · Reduced service | $75.86 | $114.82 | $186.21 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $45.71 Typical High $74.13 | Professional | 53 · Discontinued | $30.20 | $45.71 | $74.13 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $173.78 Typical High $275.42 | Professional | 54 · Surgery only | $114.82 | $173.78 | $275.42 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $34.67 Typical High $56.23 | Professional | 55 · Aftercare only | $22.91 | $34.67 | $56.23 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $22.91 Typical High $37.15 | Professional | 56 · Pre-op care only | $15.14 | $22.91 | $37.15 |
Priority Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Priority Health Setting Professional Modifier None Typical Low $112.20 Median $239.88 Typical High $436.52 | Professional | None | $112.20 | $239.88 | $436.52 |
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 $151.36 Median $251.19 Typical High $467.74 | Professional | None | $151.36 | $251.19 | $467.74 |
Where Michigan sits
The same service costs 6.9 times more in Colorado than in North Dakota. 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 $4,090ND $590
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.