How much rates vary
Facilitymedian $3 · 10th to 90th $1 to $5Professionalmedian $1 · 10th to 90th $1 to $2
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 $1.35 Median $1.38 Typical High $4.27 | Facility | None | $1.35 | $1.38 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | None | $1.35 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 52 · Reduced service | $0.68 | $0.68 | $0.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.27 Median $0.27 Typical High $0.27 | Professional | 53 · Discontinued | $0.27 | $0.27 | $0.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 55 · Aftercare only | $0.20 | $0.20 | $0.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.13 |
Ambetter Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None | $2.51 | $2.51 | $2.51 |
BCBS Michigan Setting Facility Modifier None Typical Low $1.38 Median $2.69 Typical High $5.13 | Facility | None | $1.38 | $2.69 | $5.13 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.68 Median $0.72 Typical High $0.72 | Professional | None | $0.68 | $0.72 | $0.72 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $0.65 Median $0.68 Typical High $0.68 | Professional | JW · Drug discarded | $0.65 | $0.68 | $0.68 |
Cigna Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.66 | Professional | None | $1.29 | $1.29 | $1.66 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1.38 Median $3.55 Typical High $6.03 | Facility | None | $1.38 | $3.55 | $6.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1.32 Median $1.38 Typical High $1.78 | Professional | None | $1.32 | $1.38 | $1.78 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $0.69 Median $0.69 Typical High $0.69 | Professional | 52 · Reduced service | $0.69 | $0.69 | $0.69 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.27 Median $0.27 Typical High $0.27 | Professional | 53 · Discontinued | $0.27 | $0.27 | $0.27 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | 55 · Aftercare only | $0.21 | $0.21 | $0.21 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.14 | $0.14 | $0.14 |
Priority Health Setting Professional Modifier None Typical Low $1.29 Median $1.66 Typical High $1.66 | Professional | None | $1.29 | $1.66 | $1.66 |
United Setting Professional Modifier None Typical Low $1.32 Median $1.48 Typical High $1.58 | Professional | None | $1.32 | $1.48 | $1.58 |
Where Michigan sits
The same service costs 1.9 times more in Wyoming than in Florida. 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· 14th of 51
$1.35
WY $2.45FL $1.32
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.