How much rates vary
Facilitymedian $1 · 10th to 90th $0 to $3Professionalmedian $1 · 10th to 90th $0 to $1
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 $0.43 Median $0.43 Typical High $0.76 | Facility | None | $0.43 | $0.43 | $0.76 |
Aetna Setting Professional Modifier None Typical Low $0.43 Median $0.43 Typical High $0.76 | Professional | None | $0.43 | $0.43 | $0.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.22 Median $0.22 Typical High $0.38 | Professional | 52 · Reduced service | $0.22 | $0.22 | $0.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.09 Median $0.09 Typical High $0.15 | Professional | 53 · Discontinued | $0.09 | $0.09 | $0.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.06 Typical High $0.11 | Professional | 55 · Aftercare only | $0.06 | $0.06 | $0.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.08 |
BCBS Michigan Setting Facility Modifier None Typical Low $0.89 Median $2.24 Typical High $4.17 | Facility | None | $0.89 | $2.24 | $4.17 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.71 Median $0.76 Typical High $0.76 | Professional | None | $0.71 | $0.76 | $0.76 |
CareSource Setting Facility Modifier None Typical Low $0.49 Median $0.49 Typical High $0.49 | Facility | None | $0.49 | $0.49 | $0.49 |
Cigna Setting Facility Modifier None Typical Low $0.42 Median $0.42 Typical High $0.42 | Facility | None | $0.42 | $0.42 | $0.42 |
Cigna Setting Professional Modifier None Typical Low $0.36 Median $0.42 Typical High $0.56 | Professional | None | $0.36 | $0.42 | $0.56 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.43 Median $1.45 Typical High $1.58 | Facility | None | $0.43 | $1.45 | $1.58 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.43 Median $0.59 Typical High $0.78 | Professional | None | $0.43 | $0.59 | $0.78 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | 52 · Reduced service | $0.22 | $0.22 | $0.22 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 53 · Discontinued | $0.09 | $0.09 | $0.09 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 55 · Aftercare only | $0.06 | $0.06 | $0.06 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.04 |
Priority Health Setting Facility Modifier None Typical Low $0.42 Median $0.42 Typical High $0.42 | Facility | None | $0.42 | $0.42 | $0.42 |
Priority Health Setting Professional Modifier None Typical Low $0.42 Median $0.50 Typical High $0.62 | Professional | None | $0.42 | $0.50 | $0.62 |
United Setting Facility Modifier None Typical Low $0.78 Median $0.91 Typical High $1.10 | Facility | None | $0.78 | $0.91 | $1.10 |
United Setting Professional Modifier None Typical Low $0.28 Median $0.35 Typical High $0.50 | Professional | None | $0.28 | $0.35 | $0.50 |
Where Michigan sits
The same service costs 2.3 times more in Montana than in Hawaii. 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· 22nd of 51
$0.54
MT $0.81HI $0.35
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.