How much rates vary
Facilitymedian $29 · 10th to 90th $12 to $35Professionalmedian $13 · 10th to 90th $12 to $18
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $12.30 Median $12.30 Typical High $51.29 | Facility | None | $12.30 | $12.30 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.59 Typical High $12.59 | Professional | None | $12.30 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $6.31 Typical High $6.31 | Professional | 52 · Reduced service | $6.17 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.51 Typical High $2.51 | Professional | 53 · Discontinued | $2.45 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $1.91 Typical High $1.91 | Professional | 55 · Aftercare only | $1.86 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.26 Typical High $1.26 | Professional | 56 · Pre-op care only | $1.23 | $1.26 | $1.26 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $11.22 | Professional | None | $9.55 | $9.55 | $11.22 |
BCBS Michigan Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
BCBS Michigan Setting Professional Modifier None Typical Low $16.98 Median $18.20 Typical High $18.20 | Professional | None | $16.98 | $18.20 | $18.20 |
CareSource Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $16.98 Typical High $25.12 | Professional | None | $11.48 | $16.98 | $25.12 |
Health Alliance Plan Setting Facility Modifier None Typical Low $13.18 Median $31.62 Typical High $34.67 | Facility | None | $13.18 | $31.62 | $34.67 |
Health Alliance Plan Setting Professional Modifier None Typical Low $11.75 Median $13.18 Typical High $15.49 | Professional | None | $11.75 | $13.18 | $15.49 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 52 · Reduced service | $6.61 | $6.61 | $6.61 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | 53 · Discontinued | $2.63 | $2.63 | $2.63 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 55 · Aftercare only | $2.00 | $2.00 | $2.00 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | 56 · Pre-op care only | $1.32 | $1.32 | $1.32 |
Priority Health Setting Professional Modifier None Typical Low $12.30 Median $16.98 Typical High $23.44 | Professional | None | $12.30 | $16.98 | $23.44 |
United Setting Professional Modifier None Typical Low $11.75 Median $13.18 Typical High $16.22 | Professional | None | $11.75 | $13.18 | $16.22 |
Where Michigan sits
The same service costs 2.6 times more in Alaska 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· 20th of 51
$13.18
AK $25.12KY $9.77
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.