How much rates vary
Facilitymedian $65 · 10th to 90th $26 to $170Professionalmedian $30 · 10th to 90th $18 to $39
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 $22.39 Median $38.02 Typical High $38.02 | Facility | None | $22.39 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $38.02 | Professional | None | $22.39 | $22.39 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $11.22 Typical High $19.05 | Professional | 52 · Reduced service | $11.22 | $11.22 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $7.59 | Professional | 53 · Discontinued | $4.47 | $4.47 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $3.31 Typical High $5.75 | Professional | 55 · Aftercare only | $3.31 | $3.31 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.24 Typical High $3.80 | Professional | 56 · Pre-op care only | $2.24 | $2.24 | $3.80 |
BCBS Michigan Setting Facility Modifier None Typical Low $45.71 Median $112.20 Typical High $213.80 | Facility | None | $45.71 | $112.20 | $213.80 |
BCBS Michigan Setting Professional Modifier None Typical Low $36.31 Median $38.02 Typical High $38.02 | Professional | None | $36.31 | $38.02 | $38.02 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $25.70 Typical High $42.66 | Professional | None | $18.62 | $25.70 | $42.66 |
Health Alliance Plan Setting Facility Modifier None Typical Low $21.88 Median $74.13 Typical High $81.28 | Facility | None | $21.88 | $74.13 | $81.28 |
Health Alliance Plan Setting Professional Modifier None Typical Low $21.88 Median $30.20 Typical High $38.90 | Professional | None | $21.88 | $30.20 | $38.90 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $10.96 | $10.96 | $10.96 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $4.37 | $4.37 | $4.37 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | 55 · Aftercare only | $3.31 | $3.31 | $3.31 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | 56 · Pre-op care only | $2.19 | $2.19 | $2.19 |
Priority Health Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Priority Health Setting Professional Modifier None Typical Low $18.62 Median $25.70 Typical High $38.02 | Professional | None | $18.62 | $25.70 | $38.02 |
United Setting Facility Modifier None Typical Low $39.81 Median $46.77 Typical High $56.23 | Facility | None | $39.81 | $46.77 | $56.23 |
United Setting Professional Modifier None Typical Low $14.13 Median $17.78 Typical High $25.70 | Professional | None | $14.13 | $17.78 | $25.70 |
Where Michigan sits
The same service costs 2.2 times more in Montana than in New Jersey. 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
$30.90
MT $40.74NJ $18.62
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.