How much rates vary
Facilitymedian $81 · 10th to 90th $56 to $151Professionalmedian $56 · 10th to 90th $55 to $81
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 $56.23 Median $79.43 Typical High $81.28 | Facility | None | $56.23 | $79.43 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $81.28 | Professional | None | $56.23 | $56.23 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $28.18 Typical High $40.74 | Professional | 52 · Reduced service | $27.54 | $28.18 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $16.22 | Professional | 53 · Discontinued | $11.22 | $11.22 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.51 Typical High $12.30 | Professional | 55 · Aftercare only | $8.32 | $8.51 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $8.13 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $8.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
BCBS Michigan Setting Professional Modifier None Typical Low $67.61 Median $72.44 Typical High $72.44 | Professional | None | $67.61 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $112.20 | Professional | None | $60.26 | $77.62 | $112.20 |
Health Alliance Plan Setting Facility Modifier None Typical Low $56.23 Median $138.04 Typical High $151.36 | Facility | None | $56.23 | $138.04 | $151.36 |
Health Alliance Plan Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $56.23 | Professional | None | $51.29 | $56.23 | $56.23 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $28.18 | $28.18 | $28.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $11.22 | $11.22 | $11.22 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $8.51 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $5.62 |
Priority Health Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $97.72 | Professional | None | $58.88 | $77.62 | $97.72 |
United Setting Professional Modifier None Typical Low $50.12 Median $57.54 Typical High $70.79 | Professional | None | $50.12 | $57.54 | $70.79 |
Where Michigan sits
The same service costs 3.0 times more in North Dakota than in New York. 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· 23rd of 51
$56.23
ND $129NY $42.66
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.