How much rates vary
Facilitymedian $240 · 10th to 90th $51 to $501Professionalmedian $79 · 10th to 90th $33 to $110
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 $38.90 Median $51.29 Typical High $109.65 | Facility | None | $38.90 | $51.29 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $75.86 Typical High $109.65 | Professional | None | $37.15 | $75.86 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $36.31 Typical High $53.70 | Professional | 52 · Reduced service | $18.62 | $36.31 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $14.45 Typical High $21.88 | Professional | 53 · Discontinued | $7.59 | $14.45 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $10.96 Typical High $16.22 | Professional | 55 · Aftercare only | $5.62 | $10.96 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $7.59 Typical High $10.72 | Professional | 56 · Pre-op care only | $3.72 | $7.59 | $10.72 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
BCBS Michigan Setting Facility Modifier None Typical Low $144.54 Median $288.40 Typical High $562.34 | Facility | None | $144.54 | $288.40 | $562.34 |
BCBS Michigan Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | None | $34.67 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $69.18 Typical High $138.04 | Professional | None | $28.18 | $69.18 | $138.04 |
Health Alliance Plan Setting Facility Modifier None Typical Low $38.02 Median $223.87 Typical High $239.88 | Facility | None | $38.02 | $223.87 | $239.88 |
Health Alliance Plan Setting Professional Modifier None Typical Low $37.15 Median $95.50 Typical High $109.65 | Professional | None | $37.15 | $95.50 | $109.65 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $25.70 Typical High $51.29 | Professional | 52 · Reduced service | $18.62 | $25.70 | $51.29 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $10.23 Typical High $20.42 | Professional | 53 · Discontinued | $7.41 | $10.23 | $20.42 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $7.76 Typical High $15.49 | Professional | 55 · Aftercare only | $5.50 | $7.76 | $15.49 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $5.25 Typical High $10.23 | Professional | 56 · Pre-op care only | $3.72 | $5.25 | $10.23 |
Priority Health Setting Professional Modifier None Typical Low $26.92 Median $66.07 Typical High $120.23 | Professional | None | $26.92 | $66.07 | $120.23 |
United Setting Facility Modifier None Typical Low $74.13 Median $95.50 Typical High $204.17 | Facility | None | $74.13 | $95.50 | $204.17 |
United Setting Professional Modifier None Typical Low $31.62 Median $69.18 Typical High $109.65 | Professional | None | $31.62 | $69.18 | $109.65 |
Where Michigan sits
The same service costs 3.6 times more in North Carolina than in Washington, DC. 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· 24th of 51
$79.43
NC $123DC $33.88
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.