How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $0
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 $0.20 Median $0.25 Typical High $0.52 | Facility | None | $0.20 | $0.25 | $0.52 |
Aetna Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.21 | Professional | None | $0.20 | $0.20 | $0.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | 52 · Reduced service | $0.10 | $0.10 | $0.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 53 · Discontinued | $0.04 | $0.04 | $0.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 55 · Aftercare only | $0.03 | $0.03 | $0.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
BCBS Michigan Setting Facility Modifier None Typical Low $0.21 Median $0.41 Typical High $0.79 | Facility | None | $0.21 | $0.41 | $0.79 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.13 Median $0.14 Typical High $0.14 | Professional | None | $0.13 | $0.14 | $0.14 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $0.12 Median $0.13 Typical High $0.13 | Professional | JW · Drug discarded | $0.12 | $0.13 | $0.13 |
CareSource Setting Professional Modifier None Typical Low $0.19 Median $0.19 Typical High $0.26 | Professional | None | $0.19 | $0.19 | $0.26 |
Cigna Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.41 | Professional | None | $0.20 | $0.20 | $0.41 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.21 Median $0.52 Typical High $1.07 | Facility | None | $0.21 | $0.52 | $1.07 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.17 Median $0.20 Typical High $0.28 | Professional | None | $0.17 | $0.20 | $0.28 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 52 · Reduced service | $0.09 | $0.09 | $0.09 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 53 · Discontinued | $0.03 | $0.03 | $0.03 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 55 · Aftercare only | $0.03 | $0.03 | $0.03 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
Priority Health Setting Professional Modifier None Typical Low $0.20 Median $0.27 Typical High $0.41 | Professional | None | $0.20 | $0.27 | $0.41 |
United Setting Professional Modifier None Typical Low $0.16 Median $4.07 Typical High $4.27 | Professional | None | $0.16 | $4.07 | $4.27 |
Where Michigan sits
The same service costs 3.8 times more in Wyoming than in Michigan. 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· 51st of 51
$0.20
WY $0.76MI $0.20
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.