How much rates vary
Facilitymedian $112 · 10th to 90th $37 to $288Professionalmedian $52 · 10th to 90th $31 to $68
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 $38.02 Median $66.07 Typical High $66.07 | Facility | None | $38.02 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $66.07 | Professional | None | $38.02 | $38.02 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $33.11 | Professional | 52 · Reduced service | $19.05 | $19.05 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $13.18 | Professional | 53 · Discontinued | $7.59 | $7.59 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $9.77 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.80 Typical High $6.61 | Professional | 56 · Pre-op care only | $3.80 | $3.80 | $6.61 |
BCBS Michigan Setting Facility Modifier None Typical Low $79.43 Median $194.98 Typical High $371.54 | Facility | None | $79.43 | $194.98 | $371.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $66.07 | Professional | None | $63.10 | $66.07 | $66.07 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $72.44 | Professional | None | $26.92 | $37.15 | $72.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $38.02 Median $128.82 Typical High $141.25 | Facility | None | $38.02 | $128.82 | $141.25 |
Health Alliance Plan Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $67.61 | Professional | None | $38.02 | $52.48 | $67.61 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $7.59 | $7.59 | $7.59 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 55 · Aftercare only | $5.62 | $5.62 | $5.62 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | 56 · Pre-op care only | $3.80 | $3.80 | $3.80 |
Priority Health Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Priority Health Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $66.07 | Professional | None | $26.92 | $37.15 | $66.07 |
United Setting Facility Modifier None Typical Low $67.61 Median $79.43 Typical High $95.50 | Facility | None | $67.61 | $79.43 | $95.50 |
United Setting Professional Modifier None Typical Low $24.55 Median $30.90 Typical High $43.65 | Professional | None | $24.55 | $30.90 | $43.65 |
Where Michigan sits
The same service costs 2.6 times more in Montana 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· 15th of 51
$52.48
MT $69.18DE $26.92
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.