How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $27.54 Median $38.90 Typical High $91.20 | Facility | Global | $27.54 | $38.90 | $91.20 |
Aetna Setting Professional Modifier Global Typical Low $23.99 Median $34.67 Typical High $58.88 | Professional | Global | $23.99 | $34.67 | $58.88 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $36.31 Median $50.12 Typical High $173.78 | Professional | 25 · Same-day visit | $36.31 | $50.12 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $14.79 Typical High $20.89 | Professional | 52 · Reduced service | $10.96 | $14.79 | $20.89 |
Ambetter Setting Professional Modifier Global Typical Low $32.36 Median $38.02 Typical High $58.88 | Professional | Global | $32.36 | $38.02 | $58.88 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $38.90 Median $38.90 Typical High $43.65 | Professional | 25 · Same-day visit | $38.90 | $38.90 | $43.65 |
BCBS Setting Facility Modifier Global Typical Low $37.15 Median $38.02 Typical High $309.03 | Facility | Global | $37.15 | $38.02 | $309.03 |
BCBS Setting Professional Modifier Global Typical Low $36.31 Median $40.74 Typical High $66.07 | Professional | Global | $36.31 | $40.74 | $66.07 |
CareSource Setting Facility Modifier Global Typical Low $20.42 Median $32.36 Typical High $36.31 | Facility | Global | $20.42 | $32.36 | $36.31 |
CareSource Setting Professional Modifier Global Typical Low $35.48 Median $48.98 Typical High $51.29 | Professional | Global | $35.48 | $48.98 | $51.29 |
Cigna Setting Professional Modifier Global Typical Low $37.15 Median $37.15 Typical High $50.12 | Professional | Global | $37.15 | $37.15 | $50.12 |
Health Alliance Plan Setting Facility Modifier Global Typical Low $26.92 Median $38.02 Typical High $61.66 | Facility | Global | $26.92 | $38.02 | $61.66 |
Health Alliance Plan Setting Professional Modifier Global Typical Low $23.99 Median $37.15 Typical High $61.66 | Professional | Global | $23.99 | $37.15 | $61.66 |
Priority Health Setting Professional Modifier Global Typical Low $29.51 Median $41.69 Typical High $45.71 | Professional | Global | $29.51 | $41.69 | $45.71 |
United Setting Facility Modifier Global Typical Low $30.90 Median $38.02 Typical High $281.84 | Facility | Global | $30.90 | $38.02 | $281.84 |
United Setting Professional Modifier Global Typical Low $27.54 Median $40.74 Typical High $79.43 | Professional | Global | $27.54 | $40.74 | $79.43 |
Where Michigan sits
The same service costs 1.9 times more in Minnesota than in Mississippi. 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· 22nd of 51
$37.15
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.