How much rates vary
Facilitymedian $110 · 10th to 90th $79 to $309Professionalmedian $68 · 10th to 90th $19 to $100
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 $19.95 Median $20.42 Typical High $97.72 | Facility | None | $19.95 | $20.42 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $67.61 Typical High $95.50 | Professional | None | $19.50 | $67.61 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $35.48 Typical High $47.86 | Professional | 52 · Reduced service | $9.77 | $35.48 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $14.13 Typical High $19.05 | Professional | 53 · Discontinued | $3.89 | $14.13 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.95 Median $10.47 Typical High $14.45 | Professional | 55 · Aftercare only | $2.95 | $10.47 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $7.08 Typical High $9.55 | Professional | 56 · Pre-op care only | $1.95 | $7.08 | $9.55 |
BCBS Michigan Setting Facility Modifier None Typical Low $79.43 Median $102.33 Typical High $229.09 | Facility | None | $79.43 | $102.33 | $229.09 |
BCBS Michigan Setting Professional Modifier None Typical Low $19.50 Median $30.90 Typical High $30.90 | Professional | None | $19.50 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $58.88 Typical High $109.65 | Professional | None | $12.88 | $58.88 | $109.65 |
Health Alliance Plan Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $199.53 | Facility | None | $63.10 | $63.10 | $199.53 |
Health Alliance Plan Setting Professional Modifier None Typical Low $20.89 Median $85.11 Typical High $104.71 | Professional | None | $20.89 | $85.11 | $104.71 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $16.98 Typical High $51.29 | Professional | 52 · Reduced service | $10.23 | $16.98 | $51.29 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $6.76 Typical High $20.89 | Professional | 53 · Discontinued | $4.07 | $6.76 | $20.89 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $5.13 Typical High $15.49 | Professional | 55 · Aftercare only | $3.02 | $5.13 | $15.49 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $3.39 Typical High $10.47 | Professional | 56 · Pre-op care only | $2.04 | $3.39 | $10.47 |
Priority Health Setting Professional Modifier None Typical Low $11.48 Median $58.88 Typical High $100.00 | Professional | None | $11.48 | $58.88 | $100.00 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,202.26 | Facility | None | $91.20 | $177.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $17.78 Median $67.61 Typical High $93.33 | Professional | None | $17.78 | $67.61 | $93.33 |
Where Michigan sits
The same service costs 5.9 times more in Iowa than in Kentucky. 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.
Michigan· 25th of 51
$70.79
IA $117KY $19.95
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.