How much rates vary
Facilitymedian $1 · 10th to 90th $0 to $6Professionalmedian $0 · 10th to 90th $0 to $1
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 $0.46 Median $0.56 Typical High $1.45 | Facility | None | $0.46 | $0.56 | $1.45 |
Aetna Setting Professional Modifier None Typical Low $0.45 Median $0.46 Typical High $0.66 | Professional | None | $0.45 | $0.46 | $0.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.23 Median $0.23 Typical High $0.72 | Professional | 52 · Reduced service | $0.23 | $0.23 | $0.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.09 Median $0.09 Typical High $0.28 | Professional | 53 · Discontinued | $0.09 | $0.09 | $0.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.07 Typical High $0.22 | Professional | 55 · Aftercare only | $0.07 | $0.07 | $0.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.14 |
BCBS Michigan Setting Facility Modifier None Typical Low $0.45 Median $0.78 Typical High $1.58 | Facility | None | $0.45 | $0.78 | $1.58 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.10 Median $0.11 Typical High $0.11 | Professional | None | $0.10 | $0.11 | $0.11 |
Cigna Setting Professional Modifier None Typical Low $0.21 Median $0.21 Typical High $0.54 | Professional | None | $0.21 | $0.21 | $0.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.58 Median $4.47 Typical High $7.41 | Facility | None | $0.58 | $4.47 | $7.41 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.35 Median $0.44 Typical High $0.58 | Professional | None | $0.35 | $0.44 | $0.58 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | 52 · Reduced service | $0.23 | $0.23 | $0.23 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 53 · Discontinued | $0.09 | $0.09 | $0.09 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 55 · Aftercare only | $0.07 | $0.07 | $0.07 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.05 |
Priority Health Setting Professional Modifier None Typical Low $0.21 Median $0.21 Typical High $0.45 | Professional | None | $0.21 | $0.21 | $0.45 |
United Setting Professional Modifier None Typical Low $0.18 Median $0.44 Typical High $0.48 | Professional | None | $0.18 | $0.44 | $0.48 |
Where Michigan sits
The same service costs 1.6 times more in Alaska 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
$0.45
AK $0.66MT $0.42
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.