How much rates vary
Facilitymedian $363 · 10th to 90th $245 to $2,042Professionalmedian $191 · 10th to 90th $69 to $347
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 $97.72 Median $331.13 Typical High $4,897.79 | Facility | None | $97.72 | $331.13 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $199.53 Typical High $331.13 | Professional | None | $97.72 | $199.53 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $102.33 Typical High $165.96 | Professional | 52 · Reduced service | $48.98 | $102.33 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $40.74 Typical High $66.07 | Professional | 53 · Discontinued | $19.50 | $40.74 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $154.88 Typical High $245.47 | Professional | 54 · Surgery only | $72.44 | $154.88 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $30.90 Typical High $48.98 | Professional | 55 · Aftercare only | $14.45 | $30.90 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $20.42 Typical High $33.11 | Professional | 56 · Pre-op care only | $9.77 | $20.42 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
BCBS Michigan Setting Facility Modifier None Typical Low $245.47 Median $251.19 Typical High $426.58 | Facility | None | $245.47 | $251.19 | $426.58 |
BCBS Michigan Setting Professional Modifier None Typical Low $20.89 Median $109.65 Typical High $512.86 | Professional | None | $20.89 | $109.65 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $181.97 Typical High $416.87 | Professional | None | $64.57 | $181.97 | $416.87 |
Health Alliance Plan Setting Facility Modifier None Typical Low $123.03 Median $588.84 Typical High $8,709.64 | Facility | None | $123.03 | $588.84 | $8,709.64 |
Health Alliance Plan Setting Professional Modifier None Typical Low $95.50 Median $288.40 Typical High $346.74 | Professional | None | $95.50 | $288.40 | $346.74 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $57.54 Typical High $173.78 | Professional | 52 · Reduced service | $47.86 | $57.54 | $173.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.91 Typical High $69.18 | Professional | 53 · Discontinued | $19.05 | $22.91 | $69.18 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $85.11 Typical High $257.04 | Professional | 54 · Surgery only | $72.44 | $85.11 | $257.04 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $16.98 Typical High $52.48 | Professional | 55 · Aftercare only | $14.45 | $16.98 | $52.48 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $11.48 Typical High $34.67 | Professional | 56 · Pre-op care only | $9.55 | $11.48 | $34.67 |
Priority Health Setting Professional Modifier None Typical Low $61.66 Median $173.78 Typical High $354.81 | Professional | None | $61.66 | $173.78 | $354.81 |
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 $93.33 Median $186.21 Typical High $323.59 | Professional | None | $93.33 | $186.21 | $323.59 |
Where Michigan sits
The same service costs 9.0 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 $4,579MT $507
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.