How much rates vary
Facilitymedian $2 · 10th to 90th $1 to $4Professionalmedian $1 · 10th to 90th $0 to $2
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 $0.56 Median $0.56 Typical High $0.58 | Facility | None | $0.56 | $0.56 | $0.58 |
Aetna Setting Professional Modifier None Typical Low $0.17 Median $0.56 Typical High $0.58 | Professional | None | $0.17 | $0.56 | $0.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 52 · Reduced service | $0.28 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.11 Median $0.12 Typical High $0.12 | Professional | 53 · Discontinued | $0.11 | $0.12 | $0.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.08 Median $0.09 Typical High $0.09 | Professional | 55 · Aftercare only | $0.08 | $0.09 | $0.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.06 | $0.06 | $0.06 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.06 Median $0.17 Typical High $0.17 | Professional | RR · Rental | $0.06 | $0.17 | $0.17 |
BCBS Michigan Setting Facility Modifier None Typical Low $0.74 Median $1.78 Typical High $3.31 | Facility | None | $0.74 | $1.78 | $3.31 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.59 Median $0.62 Typical High $0.62 | Professional | None | $0.59 | $0.62 | $0.62 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | RR · Rental | $0.62 | $0.62 | $0.62 |
CareSource Setting Professional Modifier None Typical Low $0.52 Median $0.56 Typical High $0.60 | Professional | None | $0.52 | $0.56 | $0.60 |
Cigna Setting Professional Modifier None Typical Low $0.31 Median $0.45 Typical High $0.45 | Professional | None | $0.31 | $0.45 | $0.45 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.56 Median $1.20 Typical High $4.68 | Facility | None | $0.56 | $1.20 | $4.68 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.47 Median $0.87 Typical High $2.04 | Professional | None | $0.47 | $0.87 | $2.04 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $0.24 Median $0.27 Typical High $0.27 | Professional | 52 · Reduced service | $0.24 | $0.27 | $0.27 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.09 Median $0.11 Typical High $0.11 | Professional | 53 · Discontinued | $0.09 | $0.11 | $0.11 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.08 Typical High $0.08 | Professional | 55 · Aftercare only | $0.07 | $0.08 | $0.08 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.05 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | RR · Rental | $0.05 | $0.05 | $0.05 |
Priority Health Setting Professional Modifier None Typical Low $0.31 Median $0.45 Typical High $0.45 | Professional | None | $0.31 | $0.45 | $0.45 |
United Setting Professional Modifier None Typical Low $0.22 Median $0.28 Typical High $0.38 | Professional | None | $0.22 | $0.28 | $0.38 |
Where Michigan sits
The same service costs 4.6 times more in Hawaii than in Rhode Island. 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· 8th of 51
$0.58
HI $1.05RI $0.23
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.