How much rates vary
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 $0.45 Median $1.26 Typical High $1.41 | Facility | None | $0.45 | $1.26 | $1.41 |
Aetna Setting Professional Modifier None Typical Low $0.45 Median $0.45 Typical High $33.88 | Professional | None | $0.45 | $0.45 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.23 Median $0.23 Typical High $18.20 | Professional | 52 · Reduced service | $0.23 | $0.23 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.09 Median $0.09 Typical High $7.24 | Professional | 53 · Discontinued | $0.09 | $0.09 | $7.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.07 Typical High $5.37 | Professional | 55 · Aftercare only | $0.07 | $0.07 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $3.63 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $3.63 |
Cigna Setting Professional Modifier None Typical Low $0.59 Median $0.59 Typical High $3.98 | Professional | None | $0.59 | $0.59 | $3.98 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.58 Median $1.41 Typical High $1.62 | Facility | None | $0.58 | $1.41 | $1.62 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.44 Median $0.48 Typical High $0.71 | Professional | None | $0.44 | $0.48 | $0.71 |
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 $0.59 Median $0.59 Typical High $3.98 | Professional | None | $0.59 | $0.59 | $3.98 |
United Setting Professional Modifier None Typical Low $1.86 Median $4.68 Typical High $5.01 | Professional | None | $1.86 | $4.68 | $5.01 |
Where Michigan sits
The same service costs 58.9 times more in Montana than in Hawaii. 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· 47th of 51
$0.56
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.