How much rates vary
Facilitymedian $1,660 · 10th to 90th $631 to $3,388Professionalmedian $302 · 10th to 90th $76 to $380
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 $275.42 Median $346.74 Typical High $4,897.79 | Facility | None | $275.42 | $346.74 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $275.42 Typical High $346.74 | Professional | None | $269.15 | $275.42 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $173.78 | Professional | 52 · Reduced service | $134.90 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $69.18 | Professional | 53 · Discontinued | $54.95 | $54.95 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $263.03 | Professional | 54 · Surgery only | $204.17 | $204.17 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $52.48 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $27.54 Typical High $34.67 | Professional | 56 · Pre-op care only | $26.92 | $27.54 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $190.55 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $190.55 | $190.55 | $245.47 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,884.03 | Facility | None | $1,659.59 | $1,659.59 | $2,884.03 |
BCBS Michigan Setting Professional Modifier None Typical Low $51.29 Median $199.53 Typical High $302.00 | Professional | None | $51.29 | $199.53 | $302.00 |
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 $194.98 Median $288.40 Typical High $457.09 | Professional | None | $194.98 | $288.40 | $457.09 |
Health Alliance Plan Setting Facility Modifier None Typical Low $346.74 Median $1,318.26 Typical High $4,897.79 | Facility | None | $346.74 | $1,318.26 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $269.15 Median $331.13 Typical High $380.19 | Professional | None | $269.15 | $331.13 | $380.19 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $173.78 | Professional | 52 · Reduced service | $134.90 | $134.90 | $173.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $69.18 | Professional | 53 · Discontinued | $53.70 | $53.70 | $69.18 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $263.03 | Professional | 54 · Surgery only | $204.17 | $204.17 | $263.03 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $52.48 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $52.48 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $34.67 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $190.55 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $190.55 | $190.55 | $245.47 |
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 $194.98 Median $288.40 Typical High $407.38 | Professional | None | $194.98 | $288.40 | $407.38 |
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 $251.19 Median $323.59 Typical High $416.87 | Professional | None | $251.19 | $323.59 | $416.87 |
Where Michigan sits
The same service costs 8.6 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 $6,252MT $728
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.