How much rates vary
Facilitymedian $6 · 10th to 90th $2 to $9Professionalmedian $2 · 10th to 90th $1 to $3
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 $2.19 Median $2.24 Typical High $6.92 | Facility | None | $2.19 | $2.24 | $6.92 |
Aetna Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.29 | Professional | None | $2.19 | $2.19 | $2.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | 52 · Reduced service | $1.10 | $1.10 | $1.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 53 · Discontinued | $0.44 | $0.44 | $0.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | 55 · Aftercare only | $0.33 | $0.33 | $0.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.22 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
BCBS Michigan Setting Facility Modifier None Typical Low $2.19 Median $4.37 Typical High $8.51 | Facility | None | $2.19 | $4.37 | $8.51 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.89 Median $0.95 Typical High $0.95 | Professional | None | $0.89 | $0.95 | $0.95 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $0.85 Median $0.89 Typical High $0.89 | Professional | JW · Drug discarded | $0.85 | $0.89 | $0.89 |
CareSource Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $3.09 | Professional | None | $2.29 | $2.29 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $2.14 Typical High $2.14 | Professional | None | $1.95 | $2.14 | $2.14 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2.19 Median $6.61 Typical High $9.33 | Facility | None | $2.19 | $6.61 | $9.33 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2.14 Median $2.24 Typical High $2.82 | Professional | None | $2.14 | $2.24 | $2.82 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | 52 · Reduced service | $1.12 | $1.12 | $1.12 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.45 Typical High $0.45 | Professional | 53 · Discontinued | $0.45 | $0.45 | $0.45 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | 55 · Aftercare only | $0.33 | $0.33 | $0.33 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.22 |
Priority Health Setting Professional Modifier None Typical Low $1.95 Median $2.00 Typical High $2.14 | Professional | None | $1.95 | $2.00 | $2.14 |
United Setting Professional Modifier None Typical Low $2.19 Median $11.75 Typical High $12.30 | Professional | None | $2.19 | $11.75 | $12.30 |
Where Michigan sits
The same service costs 1.9 times more in Wyoming than in Maine. 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
$2.19
WY $4.07ME $2.14
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.