How much rates vary
Facilitymedian $3 · 10th to 90th $1 to $11Professionalmedian $1 · 10th to 90th $0 to $2
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 $1.12 Median $1.17 Typical High $3.55 | Facility | None | $1.12 | $1.17 | $3.55 |
Aetna Setting Professional Modifier None Typical Low $1.10 Median $1.12 Typical High $1.15 | Professional | None | $1.10 | $1.12 | $1.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.56 Median $0.56 Typical High $6.46 | Professional | 52 · Reduced service | $0.56 | $0.56 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.22 Median $0.22 Typical High $2.57 | Professional | 53 · Discontinued | $0.22 | $0.22 | $2.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.17 Median $0.17 Typical High $1.95 | Professional | 55 · Aftercare only | $0.17 | $0.17 | $1.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.11 Typical High $1.29 | Professional | 56 · Pre-op care only | $0.11 | $0.11 | $1.29 |
BCBS Michigan Setting Facility Modifier None Typical Low $1.15 Median $2.29 Typical High $4.37 | Facility | None | $1.15 | $2.29 | $4.37 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | None | $0.07 | $0.07 | $0.07 |
Cigna Setting Professional Modifier None Typical Low $1.10 Median $2.24 Typical High $4.37 | Professional | None | $1.10 | $2.24 | $4.37 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2.04 Median $3.24 Typical High $11.22 | Facility | None | $2.04 | $3.24 | $11.22 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.91 Median $1.12 Typical High $1.51 | Professional | None | $0.91 | $1.12 | $1.51 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $0.56 Median $0.56 Typical High $0.56 | Professional | 52 · Reduced service | $0.56 | $0.56 | $0.56 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | 53 · Discontinued | $0.23 | $0.23 | $0.23 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 55 · Aftercare only | $0.17 | $0.17 | $0.17 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.11 | $0.11 | $0.11 |
Priority Health Setting Professional Modifier None Typical Low $1.10 Median $2.24 Typical High $4.37 | Professional | None | $1.10 | $2.24 | $4.37 |
United Setting Professional Modifier None Typical Low $0.44 Median $1.10 Typical High $1.23 | Professional | None | $0.44 | $1.10 | $1.23 |
Where Michigan sits
The same service costs 4.3 times more in Wyoming than in Delaware. 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· 24th of 51
$1.12
WY $4.68DE $1.10
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.