How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 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 $0.50 Median $1.48 Typical High $1.66 | Facility | None | $0.50 | $1.48 | $1.66 |
Aetna Setting Professional Modifier None Typical Low $0.50 Median $0.50 Typical High $0.50 | Professional | None | $0.50 | $0.50 | $0.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.25 Median $0.25 Typical High $0.25 | Professional | 52 · Reduced service | $0.25 | $0.25 | $0.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | 53 · Discontinued | $0.10 | $0.10 | $0.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 55 · Aftercare only | $0.08 | $0.08 | $0.08 |
Aetna 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 |
BCBS Michigan Setting Facility Modifier None Typical Low $0.51 Median $1.00 Typical High $1.95 | Facility | None | $0.51 | $1.00 | $1.95 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.44 Median $0.46 Typical High $0.46 | Professional | None | $0.44 | $0.46 | $0.46 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $0.41 Median $0.43 Typical High $0.43 | Professional | JW · Drug discarded | $0.41 | $0.43 | $0.43 |
Cigna Setting Professional Modifier None Typical Low $0.49 Median $0.49 Typical High $0.49 | Professional | None | $0.49 | $0.49 | $0.49 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.52 Median $1.45 Typical High $1.66 | Facility | None | $0.52 | $1.45 | $1.66 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.49 Median $0.52 Typical High $0.65 | Professional | None | $0.49 | $0.52 | $0.65 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $0.27 Median $0.27 Typical High $0.27 | Professional | 52 · Reduced service | $0.27 | $0.27 | $0.27 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | 53 · Discontinued | $0.11 | $0.11 | $0.11 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 55 · Aftercare only | $0.08 | $0.08 | $0.08 |
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 $0.49 Median $0.49 Typical High $0.49 | Professional | None | $0.49 | $0.49 | $0.49 |
United Setting Facility Modifier None Typical Low $0.49 Median $0.49 Typical High $0.49 | Facility | None | $0.49 | $0.49 | $0.49 |
United Setting Professional Modifier None Typical Low $0.52 Median $0.58 Typical High $0.62 | Professional | None | $0.52 | $0.58 | $0.62 |
Where Michigan sits
The same service costs 2.6 times more in Wyoming than in Illinois. 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· 35th of 51
$0.50
WY $1.29IL $0.49
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.