How much rates vary
Facilitymedian $2,884 · 10th to 90th $550 to $5,248Professionalmedian $427 · 10th to 90th $200 to $1,148
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 $269.15 Median $933.25 Typical High $4,073.80 | Facility | None | $269.15 | $933.25 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $741.31 Typical High $933.25 | Professional | None | $251.19 | $741.31 | $933.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $346.74 Typical High $467.74 | Professional | 52 · Reduced service | $131.83 | $346.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $138.04 Typical High $186.21 | Professional | 53 · Discontinued | $52.48 | $138.04 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $524.81 Typical High $707.95 | Professional | 54 · Surgery only | $199.53 | $524.81 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $104.71 Typical High $141.25 | Professional | 55 · Aftercare only | $39.81 | $104.71 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $69.18 Typical High $93.33 | Professional | 56 · Pre-op care only | $26.30 | $69.18 | $93.33 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $5,011.87 | Facility | None | $2,884.03 | $2,884.03 | $5,011.87 |
BCBS Michigan Setting Professional Modifier None Typical Low $169.82 Median $269.15 Typical High $1,258.93 | Professional | None | $169.82 | $269.15 | $1,258.93 |
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 $186.21 Median $562.34 Typical High $1,122.02 | Professional | None | $186.21 | $562.34 | $1,122.02 |
Health Alliance Plan Setting Facility Modifier None Typical Low $275.42 Median $1,737.80 Typical High $7,413.10 | Facility | None | $275.42 | $1,737.80 | $7,413.10 |
Health Alliance Plan Setting Professional Modifier None Typical Low $257.04 Median $851.14 Typical High $1,023.29 | Professional | None | $257.04 | $851.14 | $1,023.29 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $131.83 Typical High $478.63 | Professional | 52 · Reduced service | $128.82 | $131.83 | $478.63 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $190.55 | Professional | 53 · Discontinued | $51.29 | $52.48 | $190.55 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $194.98 Typical High $724.44 | Professional | 54 · Surgery only | $194.98 | $194.98 | $724.44 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $38.90 Typical High $144.54 | Professional | 55 · Aftercare only | $38.90 | $38.90 | $144.54 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $26.30 Typical High $95.50 | Professional | 56 · Pre-op care only | $25.70 | $26.30 | $95.50 |
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 $186.21 Median $537.03 Typical High $1,023.29 | Professional | None | $186.21 | $537.03 | $1,023.29 |
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 $229.09 Median $660.69 Typical High $1,202.26 | Professional | None | $229.09 | $660.69 | $1,202.26 |
Where Michigan sits
The same service costs 3.8 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 $5,124MT $1,344
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.