How much rates vary
Facilitymedian $1,862 · 10th to 90th $490 to $3,631Professionalmedian $195 · 10th to 90th $123 to $229
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 $186.21 Median $213.80 Typical High $4,897.79 | Facility | None | $186.21 | $213.80 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $213.80 | Professional | None | $162.18 | $190.55 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $95.50 Typical High $107.15 | Professional | 52 · Reduced service | $85.11 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.02 Typical High $42.66 | Professional | 53 · Discontinued | $33.88 | $38.02 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $141.25 Typical High $158.49 | Professional | 54 · Surgery only | $128.82 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $28.18 Typical High $31.62 | Professional | 55 · Aftercare only | $25.70 | $28.18 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $19.05 Typical High $21.38 | Professional | 56 · Pre-op care only | $16.98 | $19.05 | $21.38 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $3,311.31 | Facility | None | $1,862.09 | $1,905.46 | $3,311.31 |
BCBS Michigan Setting Professional Modifier None Typical Low $39.81 Median $186.21 Typical High $199.53 | Professional | None | $39.81 | $186.21 | $199.53 |
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 $117.49 Median $177.83 Typical High $263.03 | Professional | None | $117.49 | $177.83 | $263.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $199.53 Median $1,174.90 Typical High $4,897.79 | Facility | None | $199.53 | $1,174.90 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $158.49 Median $194.98 Typical High $223.87 | Professional | None | $158.49 | $194.98 | $223.87 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $100.00 | Professional | 52 · Reduced service | $89.13 | $89.13 | $100.00 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $40.74 | Professional | 53 · Discontinued | $36.31 | $36.31 | $40.74 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $134.90 Typical High $151.36 | Professional | 54 · Surgery only | $134.90 | $134.90 | $151.36 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $30.20 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $30.20 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $19.95 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $19.95 |
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 $112.20 Median $169.82 Typical High $234.42 | Professional | None | $112.20 | $169.82 | $234.42 |
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 $169.82 Median $199.53 Typical High $257.04 | Professional | None | $169.82 | $199.53 | $257.04 |
Where Michigan sits
The same service costs 10.0 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 $4,594ND $460
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.