How much rates vary
Facilitymedian $126 · 10th to 90th $42 to $331Professionalmedian $60 · 10th to 90th $35 to $76
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 $43.65 Median $75.86 Typical High $75.86 | Facility | None | $43.65 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $75.86 | Professional | None | $43.65 | $43.65 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $21.88 Typical High $37.15 | Professional | 52 · Reduced service | $21.88 | $21.88 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $15.14 | Professional | 53 · Discontinued | $8.71 | $8.71 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $11.22 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $7.59 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $7.59 |
BCBS Michigan Setting Facility Modifier None Typical Low $91.20 Median $223.87 Typical High $416.87 | Facility | None | $91.20 | $223.87 | $416.87 |
BCBS Michigan Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $75.86 | Professional | None | $70.79 | $75.86 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $83.18 | Professional | None | $30.90 | $41.69 | $83.18 |
Health Alliance Plan Setting Facility Modifier None Typical Low $42.66 Median $147.91 Typical High $158.49 | Facility | None | $42.66 | $147.91 | $158.49 |
Health Alliance Plan Setting Professional Modifier None Typical Low $42.66 Median $60.26 Typical High $75.86 | Professional | None | $42.66 | $60.26 | $75.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $21.38 | $21.38 | $21.38 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $8.51 | $8.51 | $8.51 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $6.46 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 56 · Pre-op care only | $4.27 | $4.27 | $4.27 |
Priority Health Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Priority Health Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $75.86 | Professional | None | $30.90 | $41.69 | $75.86 |
United Setting Facility Modifier None Typical Low $77.62 Median $91.20 Typical High $109.65 | Facility | None | $77.62 | $91.20 | $109.65 |
United Setting Professional Modifier None Typical Low $28.18 Median $35.48 Typical High $51.29 | Professional | None | $28.18 | $35.48 | $51.29 |
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
$60.26
MT $79.43DE $30.90
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.