How much rates vary
Facilitymedian $3 · 10th to 90th $1 to $5Professionalmedian $2 · 10th to 90th $1 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 $1.23 Median $3.47 Typical High $3.89 | Facility | None | $1.23 | $3.47 | $3.89 |
Aetna Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $3.02 | Professional | None | $1.23 | $1.23 | $3.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.62 Median $0.62 Typical High $1.51 | Professional | 52 · Reduced service | $0.62 | $0.62 | $1.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.25 Median $0.25 Typical High $0.60 | Professional | 53 · Discontinued | $0.25 | $0.25 | $0.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.19 Median $0.19 Typical High $0.45 | Professional | 55 · Aftercare only | $0.19 | $0.19 | $0.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.12 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.12 | $0.12 | $0.30 |
BCBS Michigan Setting Facility Modifier None Typical Low $1.20 Median $2.45 Typical High $4.57 | Facility | None | $1.20 | $2.45 | $4.57 |
Cigna Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | None | $1.32 | $1.32 | $1.32 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1.41 Median $3.47 Typical High $4.79 | Facility | None | $1.41 | $3.47 | $4.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1.23 Median $1.62 Typical High $2.24 | Professional | None | $1.23 | $1.62 | $2.24 |
Priority Health Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | None | $1.32 | $1.32 | $1.32 |
Where Michigan sits
The same service costs 2.6 times more in Arizona than in South Carolina. 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· 4th of 51
$1.62
AZ $2.40SC $0.93
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.