How much rates vary
Facilitymedian $11 · 10th to 90th $4 to $28Professionalmedian $5 · 10th to 90th $3 to $6
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 $3.55 Median $3.55 Typical High $6.31 | Facility | None | $3.55 | $3.55 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $6.31 | Professional | None | $3.55 | $3.55 | $6.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.78 Median $1.78 Typical High $3.16 | Professional | 52 · Reduced service | $1.78 | $1.78 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.72 Typical High $1.26 | Professional | 53 · Discontinued | $0.72 | $0.72 | $1.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.54 Median $0.54 Typical High $0.93 | Professional | 55 · Aftercare only | $0.54 | $0.54 | $0.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.36 Median $0.36 Typical High $0.63 | Professional | 56 · Pre-op care only | $0.36 | $0.36 | $0.63 |
BCBS Michigan Setting Facility Modifier None Typical Low $7.59 Median $18.62 Typical High $35.48 | Facility | None | $7.59 | $18.62 | $35.48 |
BCBS Michigan Setting Professional Modifier None Typical Low $6.03 Median $6.31 Typical High $6.31 | Professional | None | $6.03 | $6.31 | $6.31 |
CareSource Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | None | $4.07 | $4.07 | $4.07 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $3.55 Typical High $6.03 | Professional | None | $2.95 | $3.55 | $6.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3.55 Median $12.30 Typical High $13.18 | Facility | None | $3.55 | $12.30 | $13.18 |
Health Alliance Plan Setting Professional Modifier None Typical Low $3.55 Median $5.01 Typical High $6.46 | Professional | None | $3.55 | $5.01 | $6.46 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | 52 · Reduced service | $1.78 | $1.78 | $1.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.72 Typical High $0.72 | Professional | 53 · Discontinued | $0.72 | $0.72 | $0.72 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.54 Median $0.54 Typical High $0.54 | Professional | 55 · Aftercare only | $0.54 | $0.54 | $0.54 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.36 Median $0.36 Typical High $0.36 | Professional | 56 · Pre-op care only | $0.36 | $0.36 | $0.36 |
Priority Health Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
Priority Health Setting Professional Modifier None Typical Low $3.55 Median $4.17 Typical High $6.03 | Professional | None | $3.55 | $4.17 | $6.03 |
United Setting Facility Modifier None Typical Low $6.46 Median $7.59 Typical High $9.12 | Facility | None | $6.46 | $7.59 | $9.12 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.02 Typical High $4.27 | Professional | None | $2.34 | $3.02 | $4.27 |
Where Michigan sits
The same service costs 4.9 times more in Kansas 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· 17th of 51
$4.68
KS $14.45DE $2.95
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.