How much rates vary
Facilitymedian $6 · 10th to 90th $3 to $13Professionalmedian $3 · 10th to 90th $0 to $4
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 $2.95 Median $3.02 Typical High $10.47 | Facility | None | $2.95 | $3.02 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.09 | Professional | None | $2.95 | $2.95 | $3.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | 52 · Reduced service | $1.48 | $1.48 | $1.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.59 Typical High $0.59 | Professional | 53 · Discontinued | $0.59 | $0.59 | $0.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.45 Median $0.45 Typical High $0.45 | Professional | 55 · Aftercare only | $0.45 | $0.45 | $0.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.30 Median $0.30 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.30 | $0.30 | $0.30 |
Ambetter Setting Professional Modifier None Typical Low $3.24 Median $5.50 Typical High $5.50 | Professional | None | $3.24 | $5.50 | $5.50 |
BCBS Michigan Setting Facility Modifier None Typical Low $3.02 Median $5.89 Typical High $11.48 | Facility | None | $3.02 | $5.89 | $11.48 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.41 Median $0.43 Typical High $0.43 | Professional | None | $0.41 | $0.43 | $0.43 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $0.39 Median $0.40 Typical High $0.40 | Professional | JW · Drug discarded | $0.39 | $0.40 | $0.40 |
CareSource Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $4.27 | Professional | None | $3.16 | $3.16 | $4.27 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $5.25 | Professional | None | $2.88 | $2.88 | $5.25 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3.09 Median $7.59 Typical High $22.91 | Facility | None | $3.09 | $7.59 | $22.91 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2.88 Median $3.31 Typical High $3.80 | Professional | None | $2.88 | $3.31 | $3.80 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | 52 · Reduced service | $1.66 | $1.66 | $1.66 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.68 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.50 Median $0.50 Typical High $0.50 | Professional | 55 · Aftercare only | $0.50 | $0.50 | $0.50 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | 56 · Pre-op care only | $0.33 | $0.33 | $0.33 |
Priority Health Setting Professional Modifier None Typical Low $2.88 Median $5.25 Typical High $5.25 | Professional | None | $2.88 | $5.25 | $5.25 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.47 Typical High $3.47 | Professional | None | $3.09 | $3.47 | $3.47 |
Where Michigan sits
The same service costs 3.1 times more in Wyoming than in Delaware. 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· 29th of 51
$2.95
WY $8.91DE $2.88
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.