How much rates vary
Facilitymedian $2 · 10th to 90th $1 to $3Professionalmedian $1 · 10th to 90th $0 to $1
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 $0.89 Median $2.88 Typical High $3.24 | Facility | None | $0.89 | $2.88 | $3.24 |
Aetna Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | None | $0.89 | $0.89 | $0.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.45 Median $0.45 Typical High $0.45 | Professional | 52 · Reduced service | $0.45 | $0.45 | $0.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 53 · Discontinued | $0.18 | $0.18 | $0.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 55 · Aftercare only | $0.13 | $0.13 | $0.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.09 | $0.09 | $0.09 |
BCBS Michigan Setting Facility Modifier None Typical Low $0.95 Median $1.86 Typical High $3.55 | Facility | None | $0.95 | $1.86 | $3.55 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.26 Median $0.27 Typical High $0.27 | Professional | None | $0.26 | $0.27 | $0.27 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $0.24 Median $0.25 Typical High $0.25 | Professional | JW · Drug discarded | $0.24 | $0.25 | $0.25 |
Cigna Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $4.68 | Professional | None | $0.85 | $0.85 | $4.68 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1.02 Median $1.02 Typical High $3.24 | Facility | None | $1.02 | $1.02 | $3.24 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.85 Median $1.05 Typical High $1.20 | Professional | None | $0.85 | $1.05 | $1.20 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 52 · Reduced service | $0.52 | $0.52 | $0.52 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | 53 · Discontinued | $0.21 | $0.21 | $0.21 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | 55 · Aftercare only | $0.16 | $0.16 | $0.16 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | 56 · Pre-op care only | $0.10 | $0.10 | $0.10 |
Priority Health Setting Professional Modifier None Typical Low $0.85 Median $4.68 Typical High $4.68 | Professional | None | $0.85 | $4.68 | $4.68 |
United Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.05 | Professional | None | $1.00 | $1.00 | $1.05 |
Where Michigan sits
The same service costs 3.7 times more in North Carolina than in Virginia. 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
$0.89
NC $3.16VA $0.85
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.