How much rates vary
Facilitymedian $37 · 10th to 90th $37 to $89Professionalmedian $37 · 10th to 90th $32 to $41
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 $38.90 Median $39.81 Typical High $39.81 | Facility | None | $38.90 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | None | $38.90 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $19.50 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $7.94 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $6.03 Typical High $6.03 | Professional | 55 · Aftercare only | $5.89 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $3.89 | $4.07 | $4.07 |
BCBS Michigan Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
BCBS Michigan Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $37.15 | Professional | None | $35.48 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $46.77 | Professional | None | $25.70 | $25.70 | $46.77 |
Health Alliance Plan Setting Facility Modifier None Typical Low $37.15 Median $81.28 Typical High $89.13 | Facility | None | $37.15 | $81.28 | $89.13 |
Health Alliance Plan Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $38.90 | Professional | None | $30.20 | $37.15 | $38.90 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $18.62 | $19.05 | $19.05 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.41 | $7.76 | $7.76 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $5.75 Typical High $5.75 | Professional | 55 · Aftercare only | $5.62 | $5.75 | $5.75 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $3.89 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.72 | $3.89 | $3.89 |
Priority Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $37.15 | Professional | None | $25.70 | $25.70 | $37.15 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Where Michigan sits
The same service costs 3.1 times more in Montana 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· 8th of 51
$37.15
MT $79.43MS $25.70
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.