How much rates vary
Facilitymedian $1,445 · 10th to 90th $372 to $2,951Professionalmedian $141 · 10th to 90th $98 to $191
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 $123.03 Median $173.78 Typical High $4,897.79 | Facility | None | $123.03 | $173.78 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $173.78 | Professional | None | $123.03 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $69.18 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $27.54 Typical High $34.67 | Professional | 53 · Discontinued | $24.55 | $27.54 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $102.33 Typical High $128.82 | Professional | 54 · Surgery only | $91.20 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $20.42 Typical High $25.70 | Professional | 55 · Aftercare only | $18.20 | $20.42 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $13.80 Typical High $17.38 | Professional | 56 · Pre-op care only | $12.30 | $13.80 | $17.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $85.11 Median $95.50 Typical High $120.23 | Professional | 78 · Unplanned return to OR | $85.11 | $95.50 | $120.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,511.89 | Facility | None | $1,445.44 | $1,445.44 | $2,511.89 |
BCBS Michigan Setting Professional Modifier None Typical Low $28.18 Median $134.90 Typical High $141.25 | Professional | None | $28.18 | $134.90 | $141.25 |
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 $91.20 Median $131.83 Typical High $234.42 | Professional | None | $91.20 | $131.83 | $234.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $123.03 Median $1,318.26 Typical High $4,265.80 | Facility | None | $123.03 | $1,318.26 | $4,265.80 |
Health Alliance Plan Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $190.55 | Professional | None | $123.03 | $165.96 | $190.55 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $63.10 Typical High $89.13 | Professional | 52 · Reduced service | $61.66 | $63.10 | $89.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.12 Typical High $35.48 | Professional | 53 · Discontinued | $24.55 | $25.12 | $35.48 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $93.33 Typical High $134.90 | Professional | 54 · Surgery only | $93.33 | $93.33 | $134.90 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $26.92 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $26.92 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.59 Typical High $17.78 | Professional | 56 · Pre-op care only | $12.30 | $12.59 | $17.78 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $87.10 Median $87.10 Typical High $125.89 | Professional | 78 · Unplanned return to OR | $87.10 | $87.10 | $125.89 |
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 $91.20 Median $131.83 Typical High $208.93 | Professional | None | $91.20 | $131.83 | $208.93 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,311.31 | Facility | None | $426.58 | $602.56 | $3,311.31 |
United Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $199.53 | Professional | None | $112.20 | $154.88 | $199.53 |
Where Michigan sits
The same service costs 13.0 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 $4,547MT $350
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.