How much rates vary
Facilitymedian $1,820 · 10th to 90th $661 to $3,715Professionalmedian $339 · 10th to 90th $214 to $912
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 $229.09 Median $891.25 Typical High $4,897.79 | Facility | None | $229.09 | $891.25 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $660.69 Typical High $891.25 | Professional | None | $229.09 | $660.69 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $295.12 Typical High $446.68 | Professional | 52 · Reduced service | $114.82 | $295.12 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $117.49 Typical High $177.83 | Professional | 53 · Discontinued | $45.71 | $117.49 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $436.52 Typical High $676.08 | Professional | 54 · Surgery only | $169.82 | $436.52 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $89.13 Typical High $134.90 | Professional | 55 · Aftercare only | $34.67 | $89.13 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $58.88 Typical High $89.13 | Professional | 56 · Pre-op care only | $22.91 | $58.88 | $89.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $3,162.28 | Facility | None | $1,819.70 | $1,819.70 | $3,162.28 |
BCBS Michigan Setting Professional Modifier None Typical Low $39.81 Median $234.42 Typical High $316.23 | Professional | None | $39.81 | $234.42 | $316.23 |
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 $162.18 Median $537.03 Typical High $977.24 | Professional | None | $162.18 | $537.03 | $977.24 |
Health Alliance Plan Setting Facility Modifier None Typical Low $912.01 Median $1,698.24 Typical High $4,897.79 | Facility | None | $912.01 | $1,698.24 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $223.87 Median $776.25 Typical High $954.99 | Professional | None | $223.87 | $776.25 | $954.99 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $457.09 | Professional | 52 · Reduced service | $112.20 | $112.20 | $457.09 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $186.21 | Professional | 53 · Discontinued | $44.67 | $45.71 | $186.21 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $169.82 Typical High $691.83 | Professional | 54 · Surgery only | $165.96 | $169.82 | $691.83 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.88 Typical High $138.04 | Professional | 55 · Aftercare only | $33.11 | $33.88 | $138.04 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.91 Typical High $91.20 | Professional | 56 · Pre-op care only | $22.39 | $22.91 | $91.20 |
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 $162.18 Median $512.86 Typical High $933.25 | Professional | None | $162.18 | $512.86 | $933.25 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $5,248.07 | Facility | None | $602.56 | $1,230.27 | $5,248.07 |
United Setting Professional Modifier None Typical Low $218.78 Median $602.56 Typical High $1,047.13 | Professional | None | $218.78 | $602.56 | $1,047.13 |
Where Michigan sits
The same service costs 4.0 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 $5,041MT $1,267
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.