How much rates vary
Facilitymedian $891 · 10th to 90th $501 to $2,291Professionalmedian $427 · 10th to 90th $295 to $692
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 $302.00 Median $537.03 Typical High $4,897.79 | Facility | None | $302.00 | $537.03 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $537.03 | Professional | None | $295.12 | $398.11 | $537.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $199.53 Typical High $263.03 | Professional | 52 · Reduced service | $147.91 | $199.53 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $79.43 Typical High $107.15 | Professional | 53 · Discontinued | $58.88 | $79.43 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $295.12 Typical High $398.11 | Professional | 54 · Surgery only | $223.87 | $295.12 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $60.26 Typical High $79.43 | Professional | 55 · Aftercare only | $44.67 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $39.81 Typical High $53.70 | Professional | 56 · Pre-op care only | $29.51 | $39.81 | $53.70 |
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 $54.95 Median $323.59 Typical High $338.84 | Professional | None | $54.95 | $323.59 | $338.84 |
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 $239.88 Median $416.87 Typical High $741.31 | Professional | None | $239.88 | $416.87 | $741.31 |
Health Alliance Plan Setting Facility Modifier None Typical Low $302.00 Median $549.54 Typical High $6,760.83 | Facility | None | $302.00 | $549.54 | $6,760.83 |
Health Alliance Plan Setting Professional Modifier None Typical Low $302.00 Median $549.54 Typical High $676.08 | Professional | None | $302.00 | $549.54 | $676.08 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $177.83 Typical High $269.15 | Professional | 52 · Reduced service | $151.36 | $177.83 | $269.15 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $72.44 Typical High $109.65 | Professional | 53 · Discontinued | $60.26 | $72.44 | $109.65 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $269.15 Typical High $407.38 | Professional | 54 · Surgery only | $223.87 | $269.15 | $407.38 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $53.70 Typical High $81.28 | Professional | 55 · Aftercare only | $45.71 | $53.70 | $81.28 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $35.48 Typical High $54.95 | Professional | 56 · Pre-op care only | $30.20 | $35.48 | $54.95 |
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 $223.87 Median $380.19 Typical High $676.08 | Professional | None | $223.87 | $380.19 | $676.08 |
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 $302.00 Median $436.52 Typical High $741.31 | Professional | None | $302.00 | $436.52 | $741.31 |
Where Michigan sits
The same service costs 4.3 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 $4,191ND $964
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.