How much rates vary
Facilitymedian $17 · 10th to 90th $7 to $31Professionalmedian $7 · 10th to 90th $6 to $13
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 $5.62 Median $15.85 Typical High $17.38 | Facility | None | $5.62 | $15.85 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $17.38 | Professional | None | $5.62 | $5.62 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $2.82 Typical High $8.71 | Professional | 52 · Reduced service | $2.82 | $2.82 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $3.55 | Professional | 53 · Discontinued | $1.12 | $1.12 | $3.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.83 Median $0.83 Typical High $2.63 | Professional | 55 · Aftercare only | $0.83 | $0.83 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.56 Typical High $1.78 | Professional | 56 · Pre-op care only | $0.56 | $0.56 | $1.78 |
BCBS Michigan Setting Facility Modifier None Typical Low $9.12 Median $18.20 Typical High $31.62 | Facility | None | $9.12 | $18.20 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.17 | Professional | None | $6.03 | $6.03 | $6.17 |
Health Alliance Plan Setting Facility Modifier None Typical Low $6.31 Median $15.85 Typical High $20.89 | Facility | None | $6.31 | $15.85 | $20.89 |
Health Alliance Plan Setting Professional Modifier None Typical Low $5.62 Median $7.08 Typical High $9.55 | Professional | None | $5.62 | $7.08 | $9.55 |
Priority Health Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.17 | Professional | None | $6.03 | $6.03 | $6.17 |
United Setting Professional Modifier None Typical Low $12.30 Median $13.49 Typical High $17.78 | Professional | None | $12.30 | $13.49 | $17.78 |
Where Michigan sits
The same service costs 2.1 times more in Iowa than in Montana. 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· 13th of 51
$7.94
IA $12.30MT $5.75
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.