How much rates vary
Facilitymedian $60 · 10th to 90th $25 to $155Professionalmedian $28 · 10th to 90th $17 to $36
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 $20.42 Median $35.48 Typical High $35.48 | Facility | None | $20.42 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $35.48 | Professional | None | $20.42 | $20.42 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $10.23 Typical High $17.78 | Professional | 52 · Reduced service | $10.23 | $10.23 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $7.08 | Professional | 53 · Discontinued | $4.07 | $4.07 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.09 Typical High $5.25 | Professional | 55 · Aftercare only | $3.09 | $3.09 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.04 Typical High $3.55 | Professional | 56 · Pre-op care only | $2.04 | $2.04 | $3.55 |
BCBS Michigan Setting Facility Modifier None Typical Low $42.66 Median $104.71 Typical High $194.98 | Facility | None | $42.66 | $104.71 | $194.98 |
BCBS Michigan Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $35.48 | Professional | None | $33.11 | $35.48 | $35.48 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $24.55 Typical High $38.90 | Professional | None | $17.78 | $24.55 | $38.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $19.95 Median $69.18 Typical High $74.13 | Facility | None | $19.95 | $69.18 | $74.13 |
Health Alliance Plan Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $36.31 | Professional | None | $19.95 | $28.18 | $36.31 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $10.00 | $10.00 | $10.00 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.98 | $3.98 | $3.98 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | 55 · Aftercare only | $3.02 | $3.02 | $3.02 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 56 · Pre-op care only | $2.00 | $2.00 | $2.00 |
Priority Health Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Priority Health Setting Professional Modifier None Typical Low $17.78 Median $24.55 Typical High $35.48 | Professional | None | $17.78 | $24.55 | $35.48 |
United Setting Facility Modifier None Typical Low $36.31 Median $42.66 Typical High $51.29 | Facility | None | $36.31 | $42.66 | $51.29 |
United Setting Professional Modifier None Typical Low $13.18 Median $16.60 Typical High $23.99 | Professional | None | $13.18 | $16.60 | $23.99 |
Where Michigan sits
The same service costs 2.1 times more in Montana than in West Virginia. 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· 16th of 51
$28.18
MT $37.15WV $17.78
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.