How much rates vary
Facilitymedian $8 · 10th to 90th $5 to $51Professionalmedian $5 · 10th to 90th $1 to $8
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 $5.50 Median $5.50 Typical High $8.51 | Facility | None | $5.50 | $5.50 | $8.51 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2.75 Median $2.75 Typical High $4.27 | Facility | 52 · Reduced service | $2.75 | $2.75 | $4.27 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $1.70 | Facility | 53 · Discontinued | $1.10 | $1.10 | $1.70 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $5.75 Typical High $7.08 | Professional | None | $4.90 | $5.75 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.45 Median $2.75 Typical High $2.88 | Professional | 52 · Reduced service | $2.45 | $2.75 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $1.10 Typical High $1.15 | Professional | 53 · Discontinued | $0.98 | $1.10 | $1.15 |
Ambetter Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
BCBS Michigan Setting Facility Modifier None Typical Low $4.90 Median $7.41 Typical High $12.59 | Facility | None | $4.90 | $7.41 | $12.59 |
BCBS Michigan Setting Professional Modifier None Typical Low $1.07 Median $1.07 Typical High $1.07 | Professional | None | $1.07 | $1.07 | $1.07 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $4.47 Typical High $8.32 | Professional | None | $3.63 | $4.47 | $8.32 |
Health Alliance Plan Setting Facility Modifier None Typical Low $5.50 Median $14.79 Typical High $63.10 | Facility | None | $5.50 | $14.79 | $63.10 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $2.75 Median $2.75 Typical High $4.27 | Facility | 52 · Reduced service | $2.75 | $2.75 | $4.27 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $1.70 | Facility | 53 · Discontinued | $1.10 | $1.10 | $1.70 |
Health Alliance Plan Setting Professional Modifier None Typical Low $5.13 Median $6.76 Typical High $10.00 | Professional | None | $5.13 | $6.76 | $10.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | 52 · Reduced service | $2.75 | $2.75 | $2.75 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | 53 · Discontinued | $1.10 | $1.10 | $1.10 |
Health Alliance Plan Setting Professional Modifier QW · Waived lab test Typical Low $5.75 Median $6.76 Typical High $10.23 | Professional | QW · Waived lab test | $5.75 | $6.76 | $10.23 |
Priority Health Setting Professional Modifier None Typical Low $3.63 Median $4.47 Typical High $7.08 | Professional | None | $3.63 | $4.47 | $7.08 |
United Setting Facility Modifier None Typical Low $1.74 Median $5.13 Typical High $6.92 | Facility | None | $1.74 | $5.13 | $6.92 |
United Setting Professional Modifier None Typical Low $2.40 Median $4.68 Typical High $7.41 | Professional | None | $2.40 | $4.68 | $7.41 |
Where Michigan sits
The same service costs 7.1 times more in Vermont than in Maryland. 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· 31st of 51
$5.75
VT $30.20MD $4.27
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.