How much rates vary
Facilitymedian $19 · 10th to 90th $8 to $33Professionalmedian $9 · 10th to 90th $6 to $11
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 $8.51 Median $25.12 Typical High $28.18 | Facility | None | $8.51 | $25.12 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | 53 · Discontinued | $1.70 | $1.70 | $1.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | 55 · Aftercare only | $1.26 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | 56 · Pre-op care only | $0.83 | $0.83 | $0.83 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
BCBS Michigan Setting Facility Modifier None Typical Low $8.71 Median $16.98 Typical High $33.11 | Facility | None | $8.71 | $16.98 | $33.11 |
BCBS Michigan Setting Professional Modifier None Typical Low $5.75 Median $6.03 Typical High $6.03 | Professional | None | $5.75 | $6.03 | $6.03 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $5.37 Median $5.62 Typical High $5.62 | Professional | JW · Drug discarded | $5.37 | $5.62 | $5.62 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $19.50 | Professional | None | $8.13 | $8.13 | $19.50 |
Health Alliance Plan Setting Facility Modifier None Typical Low $15.85 Median $23.99 Typical High $41.69 | Facility | None | $15.85 | $23.99 | $41.69 |
Health Alliance Plan Setting Professional Modifier None Typical Low $8.13 Median $8.91 Typical High $11.48 | Professional | None | $8.13 | $8.91 | $11.48 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 52 · Reduced service | $4.47 | $4.47 | $4.47 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 53 · Discontinued | $1.82 | $1.82 | $1.82 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | 55 · Aftercare only | $1.35 | $1.35 | $1.35 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | 56 · Pre-op care only | $0.89 | $0.89 | $0.89 |
Priority Health Setting Professional Modifier None Typical Low $8.13 Median $19.50 Typical High $19.50 | Professional | None | $8.13 | $19.50 | $19.50 |
United Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
United Setting Professional Modifier None Typical Low $8.71 Median $9.77 Typical High $10.23 | Professional | None | $8.71 | $9.77 | $10.23 |
Where Michigan sits
The same service costs 1.9 times more in Wyoming than in Georgia. 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
$8.51
WY $15.49GA $8.13
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.