How much rates vary
Facilitymedian $85 · 10th to 90th $39 to $135Professionalmedian $39 · 10th to 90th $23 to $50
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 $38.90 Median $114.82 Typical High $128.82 | Facility | None | $38.90 | $114.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | 55 · Aftercare only | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $3.89 |
BCBS Michigan Setting Facility Modifier None Typical Low $40.74 Median $79.43 Typical High $151.36 | Facility | None | $40.74 | $79.43 | $151.36 |
BCBS Michigan Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $22.91 | Professional | None | $21.88 | $22.91 | $22.91 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $20.42 Median $21.38 Typical High $21.38 | Professional | JW · Drug discarded | $20.42 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $38.02 Typical High $38.02 | Professional | None | $33.88 | $38.02 | $38.02 |
Health Alliance Plan Setting Facility Modifier None Typical Low $40.74 Median $102.33 Typical High $128.82 | Facility | None | $40.74 | $102.33 | $128.82 |
Health Alliance Plan Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $51.29 | Professional | None | $38.02 | $40.74 | $51.29 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $8.13 | $8.13 | $8.13 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 55 · Aftercare only | $6.17 | $6.17 | $6.17 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $4.07 | $4.07 | $4.07 |
Priority Health Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $38.02 | Professional | None | $33.88 | $36.31 | $38.02 |
United Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $46.77 | Professional | None | $39.81 | $44.67 | $46.77 |
Where Michigan sits
The same service costs 1.6 times more in Alaska than in South Carolina. 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· 28th of 51
$38.90
AK $60.26SC $38.02
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.