How much rates vary
Facilitymedian $1,585 · 10th to 90th $631 to $3,311Professionalmedian $195 · 10th to 90th $37 to $603
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 $165.96 Median $524.81 Typical High $4,897.79 | Facility | None | $165.96 | $524.81 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $398.11 Typical High $524.81 | Professional | None | $165.96 | $398.11 | $524.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $199.53 Typical High $263.03 | Professional | 52 · Reduced service | $83.18 | $199.53 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $79.43 Typical High $104.71 | Professional | 53 · Discontinued | $33.11 | $79.43 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $302.00 Typical High $398.11 | Professional | 54 · Surgery only | $123.03 | $302.00 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $28.84 Typical High $79.43 | Professional | 55 · Aftercare only | $24.55 | $28.84 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $39.81 Typical High $52.48 | Professional | 56 · Pre-op care only | $16.60 | $39.81 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $281.84 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $114.82 | $281.84 | $371.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,584.89 Median $1,621.81 Typical High $2,818.38 | Facility | None | $1,584.89 | $1,621.81 | $2,818.38 |
BCBS Michigan Setting Professional Modifier None Typical Low $31.62 Median $117.49 Typical High $186.21 | Professional | None | $31.62 | $117.49 | $186.21 |
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 $131.83 Median $309.03 Typical High $660.69 | Professional | None | $131.83 | $309.03 | $660.69 |
Health Alliance Plan Setting Facility Modifier None Typical Low $549.54 Median $1,230.27 Typical High $4,897.79 | Facility | None | $549.54 | $1,230.27 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $165.96 Median $549.54 Typical High $602.56 | Professional | None | $165.96 | $549.54 | $602.56 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $97.72 Typical High $275.42 | Professional | 52 · Reduced service | $81.28 | $97.72 | $275.42 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.90 Typical High $109.65 | Professional | 53 · Discontinued | $33.11 | $38.90 | $109.65 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $147.91 Typical High $416.87 | Professional | 54 · Surgery only | $123.03 | $147.91 | $416.87 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $29.51 Typical High $83.18 | Professional | 55 · Aftercare only | $24.55 | $29.51 | $83.18 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $19.50 Typical High $54.95 | Professional | 56 · Pre-op care only | $16.60 | $19.50 | $54.95 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $138.04 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $114.82 | $138.04 | $389.05 |
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 $125.89 Median $309.03 Typical High $645.65 | Professional | None | $125.89 | $309.03 | $645.65 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $5,011.87 | Facility | None | $602.56 | $1,230.27 | $5,011.87 |
United Setting Professional Modifier None Typical Low $158.49 Median $363.08 Typical High $645.65 | Professional | None | $158.49 | $363.08 | $645.65 |
Where Michigan sits
The same service costs 5.6 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 $4,763ND $853
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.