How much rates vary
Facilitymedian $6 · 10th to 90th $1 to $11Professionalmedian $3 · 10th to 90th $0 to $4
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 $0.36 Median $1.00 Typical High $1.12 | Facility | None | $0.36 | $1.00 | $1.12 |
Aetna Setting Professional Modifier None Typical Low $0.36 Median $0.36 Typical High $0.37 | Professional | None | $0.36 | $0.36 | $0.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.18 Median $0.18 Typical High $0.56 | Professional | 52 · Reduced service | $0.18 | $0.18 | $0.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.07 Typical High $0.22 | Professional | 53 · Discontinued | $0.07 | $0.07 | $0.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.17 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.11 |
BCBS Michigan Setting Facility Modifier None Typical Low $3.24 Median $6.31 Typical High $12.30 | Facility | None | $3.24 | $6.31 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $0.38 Median $0.38 Typical High $0.38 | Professional | None | $0.38 | $0.38 | $0.38 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1.00 Median $3.31 Typical High $9.12 | Facility | None | $1.00 | $3.31 | $9.12 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.36 Median $3.16 Typical High $4.17 | Professional | None | $0.36 | $3.16 | $4.17 |
Priority Health Setting Professional Modifier None Typical Low $0.38 Median $0.38 Typical High $0.38 | Professional | None | $0.38 | $0.38 | $0.38 |
United Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.75 | Professional | None | $4.27 | $4.27 | $5.75 |
Where Michigan sits
The same service costs 14.1 times more in Wisconsin 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· 31st of 51
$3.31
WI $4.79NY $0.34
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.