How much rates vary
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 $0.27 Median $0.27 Typical High $0.27 | Facility | None | $0.27 | $0.27 | $0.27 |
Aetna Setting Professional Modifier None Typical Low $0.27 Median $0.30 Typical High $0.30 | Professional | None | $0.27 | $0.30 | $0.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.04 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.04 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $0.56 Median $1.35 Typical High $2.51 | Facility | None | $0.56 | $1.35 | $2.51 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.45 Median $0.47 Typical High $0.47 | Professional | None | $0.45 | $0.47 | $0.47 |
Cigna Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.71 | Professional | None | $0.28 | $0.28 | $0.71 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.25 Median $0.89 Typical High $0.98 | Facility | None | $0.25 | $0.89 | $0.98 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.25 Median $0.33 Typical High $0.43 | Professional | None | $0.25 | $0.33 | $0.43 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 55 · Aftercare only | $0.04 | $0.04 | $0.04 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.03 |
Priority Health Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.62 | Professional | None | $0.28 | $0.28 | $0.62 |
United Setting Professional Modifier None Typical Low $0.18 Median $0.22 Typical High $0.30 | Professional | None | $0.18 | $0.22 | $0.30 |
Where Michigan sits
The same service costs 15.5 times more in Minnesota than in Hawaii. 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· 13th of 51
$0.30
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.