How much rates vary
Facilitymedian $11 · 10th to 90th $4 to $17Professionalmedian $4 · 10th to 90th $2 to $12
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 $4.37 Median $4.47 Typical High $15.85 | Facility | None | $4.37 | $4.47 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | 52 · Reduced service | $2.19 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | 53 · Discontinued | $0.87 | $0.87 | $0.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.66 Median $0.66 Typical High $0.66 | Professional | 55 · Aftercare only | $0.66 | $0.66 | $0.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 56 · Pre-op care only | $0.44 | $0.44 | $0.44 |
BCBS Michigan Setting Facility Modifier None Typical Low $4.57 Median $8.91 Typical High $17.38 | Facility | None | $4.57 | $8.91 | $17.38 |
BCBS Michigan Setting Professional Modifier None Typical Low $1.95 Median $2.04 Typical High $2.04 | Professional | None | $1.95 | $2.04 | $2.04 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $1.82 Median $1.95 Typical High $1.95 | Professional | JW · Drug discarded | $1.82 | $1.95 | $1.95 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $12.02 | Professional | None | $4.27 | $4.27 | $12.02 |
Health Alliance Plan Setting Facility Modifier None Typical Low $4.57 Median $12.59 Typical High $25.70 | Facility | None | $4.57 | $12.59 | $25.70 |
Health Alliance Plan Setting Professional Modifier None Typical Low $4.27 Median $5.13 Typical High $5.75 | Professional | None | $4.27 | $5.13 | $5.75 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | 52 · Reduced service | $2.57 | $2.57 | $2.57 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | 53 · Discontinued | $1.02 | $1.02 | $1.02 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.78 Median $0.78 Typical High $0.78 | Professional | 55 · Aftercare only | $0.78 | $0.78 | $0.78 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.51 Median $0.51 Typical High $0.51 | Professional | 56 · Pre-op care only | $0.51 | $0.51 | $0.51 |
Priority Health Setting Professional Modifier None Typical Low $4.27 Median $12.02 Typical High $12.02 | Professional | None | $4.27 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $5.01 Median $28.84 Typical High $30.20 | Professional | None | $5.01 | $28.84 | $30.20 |
Where Michigan sits
The same service costs 5.1 times more in Wyoming than in Alabama. 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· 36th of 51
$4.47
WY $21.88AL $4.27
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.