How much rates vary
Facilitymedian $977 · 10th to 90th $513 to $2,512Professionalmedian $347 · 10th to 90th $209 to $1,175
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 $245.47 Median $1,023.29 Typical High $4,897.79 | Facility | None | $245.47 | $1,023.29 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $776.25 Typical High $1,023.29 | Professional | None | $239.88 | $776.25 | $1,023.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $389.05 Typical High $512.86 | Professional | 52 · Reduced service | $120.23 | $389.05 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $154.88 Typical High $204.17 | Professional | 53 · Discontinued | $47.86 | $154.88 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $588.84 Typical High $776.25 | Professional | 54 · Surgery only | $181.97 | $588.84 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $117.49 Typical High $154.88 | Professional | 55 · Aftercare only | $36.31 | $117.49 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $77.62 Typical High $102.33 | Professional | 56 · Pre-op care only | $23.99 | $77.62 | $102.33 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $323.59 | Professional | None | $165.96 | $213.80 | $323.59 |
BCBS Michigan Setting Facility Modifier None Typical Low $977.24 Median $1,000.00 Typical High $1,698.24 | Facility | None | $977.24 | $1,000.00 | $1,698.24 |
BCBS Michigan Setting Professional Modifier None Typical Low $43.65 Median $257.04 Typical High $257.04 | Professional | None | $43.65 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $602.56 Typical High $1,380.38 | Professional | None | $199.53 | $602.56 | $1,380.38 |
Health Alliance Plan Setting Facility Modifier None Typical Low $630.96 Median $1,096.48 Typical High $4,265.80 | Facility | None | $630.96 | $1,096.48 | $4,265.80 |
Health Alliance Plan Setting Professional Modifier None Typical Low $245.47 Median $1,000.00 Typical High $1,122.02 | Professional | None | $245.47 | $1,000.00 | $1,122.02 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $151.36 Typical High $549.54 | Professional | 52 · Reduced service | $123.03 | $151.36 | $549.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $60.26 Typical High $218.78 | Professional | 53 · Discontinued | $48.98 | $60.26 | $218.78 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $229.09 Typical High $812.83 | Professional | 54 · Surgery only | $186.21 | $229.09 | $812.83 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $45.71 Typical High $165.96 | Professional | 55 · Aftercare only | $37.15 | $45.71 | $165.96 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $30.20 Typical High $109.65 | Professional | 56 · Pre-op care only | $24.55 | $30.20 | $109.65 |
Priority Health Setting Professional Modifier None Typical Low $181.97 Median $602.56 Typical High $1,202.26 | Professional | None | $181.97 | $602.56 | $1,202.26 |
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 $245.47 Median $724.44 Typical High $1,348.96 | Professional | None | $245.47 | $724.44 | $1,348.96 |
Where Michigan sits
The same service costs 5.2 times more in Colorado than in Maryland. 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 $5,090MD $977
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.