How much rates vary
Facilitymedian $1,122 · 10th to 90th $513 to $2,291Professionalmedian $234 · 10th to 90th $158 to $355
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 $2,041.74 Typical High $4,897.79 | Facility | None | $213.80 | $2,041.74 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $162.18 | Professional | 54 · Surgery only | $158.49 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $32.36 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,949.84 | Facility | None | $1,122.02 | $1,122.02 | $1,949.84 |
BCBS Michigan Setting Professional Modifier None Typical Low $39.81 Median $234.42 Typical High $234.42 | Professional | None | $39.81 | $234.42 | $234.42 |
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 $144.54 Median $234.42 Typical High $398.11 | Professional | None | $144.54 | $234.42 | $398.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $616.60 Median $676.08 Typical High $4,897.79 | Facility | None | $616.60 | $676.08 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $331.13 | Professional | None | $213.80 | $251.19 | $331.13 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $43.65 | $43.65 | $43.65 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 54 · Surgery only | $162.18 | $162.18 | $162.18 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $32.36 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
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 $128.82 Median $213.80 Typical High $398.11 | Professional | None | $128.82 | $213.80 | $398.11 |
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 $194.98 Median $316.23 Typical High $371.54 | Professional | None | $194.98 | $316.23 | $371.54 |
Where Michigan sits
The same service costs 7.7 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 $4,047MT $526
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.