How much rates vary
Facilitymedian $8 · 10th to 90th $8 to $28Professionalmedian $11 · 10th to 90th $6 to $14
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 $12.02 Median $12.02 Typical High $12.59 | Facility | None | $12.02 | $12.02 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.59 Typical High $12.59 | Professional | None | $12.02 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.31 Typical High $6.31 | Professional | 52 · Reduced service | $6.03 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.51 Typical High $2.51 | Professional | 53 · Discontinued | $2.40 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $1.91 Typical High $1.91 | Professional | 55 · Aftercare only | $1.82 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.26 Typical High $1.26 | Professional | 56 · Pre-op care only | $1.20 | $1.26 | $1.26 |
Ambetter Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
BCBS Michigan Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $104.71 | Facility | None | $13.49 | $13.49 | $104.71 |
BCBS Michigan Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $13.49 | Professional | None | $12.88 | $13.49 | $13.49 |
CareSource Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
CareSource Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $19.05 | Professional | None | $13.49 | $18.62 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.51 | Facility | None | $8.13 | $8.13 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $7.76 Typical High $8.71 | Professional | None | $6.92 | $7.76 | $8.71 |
Health Alliance Plan Setting Facility Modifier None Typical Low $10.23 Median $26.30 Typical High $28.18 | Facility | None | $10.23 | $26.30 | $28.18 |
Health Alliance Plan Setting Professional Modifier None Typical Low $9.33 Median $10.47 Typical High $13.80 | Professional | None | $9.33 | $10.47 | $13.80 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 52 · Reduced service | $5.13 | $5.13 | $5.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.04 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.51 | $1.51 | $1.51 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | 56 · Pre-op care only | $1.02 | $1.02 | $1.02 |
Priority Health Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.51 | Facility | None | $8.13 | $8.13 | $8.51 |
Priority Health Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $10.00 | Professional | None | $7.76 | $7.76 | $10.00 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.31 Typical High $8.32 | Professional | None | $4.79 | $6.31 | $8.32 |
Where Michigan sits
The same service costs 2.2 times more in Hawaii than in Maine. 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· 14th of 51
$11.22
HI $15.49ME $6.92
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.