How much rates vary
Facilitymedian $1 · 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). 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 $0.22 Median $0.62 Typical High $0.69 | Facility | None | $0.22 | $0.62 | $0.69 |
Aetna Setting Professional Modifier None Typical Low $0.22 Median $0.22 Typical High $0.24 | Professional | None | $0.22 | $0.22 | $0.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.11 Median $0.11 Typical High $0.34 | Professional | 52 · Reduced service | $0.11 | $0.11 | $0.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.04 Median $0.04 Typical High $0.14 | Professional | 53 · Discontinued | $0.04 | $0.04 | $0.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.03 Typical High $0.10 | Professional | 55 · Aftercare only | $0.03 | $0.03 | $0.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.07 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.07 |
Cigna Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | None | $0.28 | $0.28 | $0.28 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.28 Median $0.69 Typical High $0.81 | Facility | None | $0.28 | $0.69 | $0.81 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.22 Median $0.28 Typical High $0.37 | Professional | None | $0.22 | $0.28 | $0.37 |
Priority Health Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | None | $0.28 | $0.28 | $0.28 |
United Setting Professional Modifier None Typical Low $0.35 Median $0.35 Typical High $0.47 | Professional | None | $0.35 | $0.35 | $0.47 |
Where Michigan sits
The same service costs 4.4 times more in Kansas than in Utah. 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· 42nd of 51
$0.28
KS $1.00UT $0.23
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.