How much rates vary
Facilitymedian $2,951 · 10th to 90th $646 to $5,495Professionalmedian $275 · 10th to 90th $166 to $708
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 $234.42 Median $676.08 Typical High $4,897.79 | Facility | None | $234.42 | $676.08 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $467.74 Typical High $676.08 | Professional | None | $234.42 | $467.74 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $234.42 Typical High $338.84 | Professional | 52 · Reduced service | $117.49 | $234.42 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $93.33 Typical High $134.90 | Professional | 53 · Discontinued | $46.77 | $93.33 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $354.81 Typical High $501.19 | Professional | 54 · Surgery only | $173.78 | $354.81 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $70.79 Typical High $100.00 | Professional | 55 · Aftercare only | $34.67 | $70.79 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $46.77 Typical High $67.61 | Professional | 56 · Pre-op care only | $23.44 | $46.77 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $331.13 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $162.18 | $331.13 | $467.74 |
Ambetter Setting Professional Modifier None Typical Low $158.49 Median $338.84 Typical High $1,202.26 | Professional | None | $158.49 | $338.84 | $1,202.26 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,951.21 Median $3,019.95 Typical High $5,128.61 | Facility | None | $2,951.21 | $3,019.95 | $5,128.61 |
BCBS Michigan Setting Professional Modifier None Typical Low $45.71 Median $165.96 Typical High $263.03 | Professional | None | $45.71 | $165.96 | $263.03 |
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 $181.97 Median $398.11 Typical High $851.14 | Professional | None | $181.97 | $398.11 | $851.14 |
Health Alliance Plan Setting Facility Modifier None Typical Low $295.12 Median $1,412.54 Typical High $7,244.36 | Facility | None | $295.12 | $1,412.54 | $7,244.36 |
Health Alliance Plan Setting Professional Modifier None Typical Low $229.09 Median $660.69 Typical High $707.95 | Professional | None | $229.09 | $660.69 | $707.95 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $134.90 Typical High $338.84 | Professional | 52 · Reduced service | $114.82 | $134.90 | $338.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $54.95 Typical High $134.90 | Professional | 53 · Discontinued | $45.71 | $54.95 | $134.90 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $204.17 Typical High $512.86 | Professional | 54 · Surgery only | $173.78 | $204.17 | $512.86 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $40.74 Typical High $102.33 | Professional | 55 · Aftercare only | $34.67 | $40.74 | $102.33 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $27.54 Typical High $67.61 | Professional | 56 · Pre-op care only | $22.91 | $27.54 | $67.61 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $190.55 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $162.18 | $190.55 | $478.63 |
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 $173.78 Median $398.11 Typical High $758.58 | Professional | None | $173.78 | $398.11 | $758.58 |
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 $223.87 Median $446.68 Typical High $758.58 | Professional | None | $223.87 | $446.68 | $758.58 |
Where Michigan sits
The same service costs 4.4 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 $4,844ND $1,099
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.