How much rates vary
Facilitymedian $263 · 10th to 90th $98 to $603Professionalmedian $37 · 10th to 90th $21 to $45
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 $21.88 Median $21.88 Typical High $22.91 | Facility | None | $21.88 | $21.88 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $23.44 Typical High $23.44 | Professional | None | $21.88 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $10.96 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $4.37 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $3.47 Typical High $3.47 | Professional | 55 · Aftercare only | $3.24 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $2.29 Typical High $2.29 | Professional | 56 · Pre-op care only | $2.19 | $2.29 | $2.29 |
BCBS Michigan Setting Facility Modifier None Typical Low $199.53 Median $269.15 Typical High $616.60 | Facility | None | $199.53 | $269.15 | $616.60 |
BCBS Michigan Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | None | $38.02 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $34.67 Typical High $56.23 | Professional | None | $19.50 | $34.67 | $56.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $21.38 Median $91.20 Typical High $257.04 | Facility | None | $21.38 | $91.20 | $257.04 |
Health Alliance Plan Setting Professional Modifier None Typical Low $21.38 Median $33.88 Typical High $44.67 | Professional | None | $21.38 | $33.88 | $44.67 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $10.72 | $10.72 | $10.72 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $4.37 | $4.37 | $4.37 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 55 · Aftercare only | $3.24 | $3.24 | $3.24 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | 56 · Pre-op care only | $2.14 | $2.14 | $2.14 |
Priority Health Setting Professional Modifier None Typical Low $18.20 Median $33.88 Typical High $56.23 | Professional | None | $18.20 | $33.88 | $56.23 |
United Setting Facility Modifier None Typical Low $223.87 Median $295.12 Typical High $616.60 | Facility | None | $223.87 | $295.12 | $616.60 |
United Setting Professional Modifier None Typical Low $30.20 Median $36.31 Typical High $41.69 | Professional | None | $30.20 | $36.31 | $41.69 |
Where Michigan sits
The same service costs 2.5 times more in Iowa than in Pennsylvania. 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· 16th of 51
$37.15
IA $52.48PA $20.89
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.