How much rates vary
Facilitymedian $1,660 · 10th to 90th $631 to $3,388Professionalmedian $575 · 10th to 90th $447 to $661
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 $549.54 Median $588.84 Typical High $4,897.79 | Facility | None | $549.54 | $588.84 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $549.54 Typical High $588.84 | Professional | None | $537.03 | $549.54 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $275.42 Typical High $295.12 | Professional | 52 · Reduced service | $263.03 | $275.42 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $109.65 Typical High $117.49 | Professional | 53 · Discontinued | $107.15 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $407.38 Typical High $436.52 | Professional | 54 · Surgery only | $398.11 | $407.38 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $81.28 Typical High $87.10 | Professional | 55 · Aftercare only | $79.43 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $54.95 Typical High $58.88 | Professional | 56 · Pre-op care only | $53.70 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $380.19 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $371.54 | $380.19 | $407.38 |
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 $123.03 Median $616.60 Typical High $616.60 | Professional | None | $123.03 | $616.60 | $616.60 |
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 $338.84 Median $524.81 Typical High $776.25 | Professional | None | $338.84 | $524.81 | $776.25 |
Health Alliance Plan Setting Facility Modifier None Typical Low $575.44 Median $1,174.90 Typical High $4,897.79 | Facility | None | $575.44 | $1,174.90 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $645.65 | Professional | None | $457.09 | $575.44 | $645.65 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $288.40 | Professional | 52 · Reduced service | $269.15 | $269.15 | $288.40 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $114.82 | Professional | 53 · Discontinued | $107.15 | $107.15 | $114.82 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $436.52 | Professional | 54 · Surgery only | $407.38 | $407.38 | $436.52 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $87.10 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $57.54 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $57.54 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $407.38 |
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 $323.59 Median $489.78 Typical High $676.08 | Professional | None | $323.59 | $489.78 | $676.08 |
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 $489.78 Median $575.44 Typical High $724.44 | Professional | None | $489.78 | $575.44 | $724.44 |
Where Michigan sits
The same service costs 4.8 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 $6,549ND $1,369
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.