How much rates vary
Facilitymedian $5 · 10th to 90th $4 to $9Professionalmedian $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 $4.68 Median $4.68 Typical High $7.41 | Facility | None | $4.68 | $4.68 | $7.41 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2.34 Median $2.34 Typical High $3.63 | Facility | 52 · Reduced service | $2.34 | $2.34 | $3.63 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $1.48 | Facility | 53 · Discontinued | $0.93 | $0.93 | $1.48 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.71 Median $0.71 Typical High $1.10 | Facility | 55 · Aftercare only | $0.71 | $0.71 | $1.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.47 Median $0.47 Typical High $0.72 | Facility | 56 · Pre-op care only | $0.47 | $0.47 | $0.72 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.79 Typical High $5.01 | Professional | None | $4.17 | $4.79 | $5.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.09 Median $2.40 Typical High $2.51 | Professional | 52 · Reduced service | $2.09 | $2.40 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.95 Typical High $1.00 | Professional | 53 · Discontinued | $0.83 | $0.95 | $1.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.63 Median $0.71 Typical High $0.76 | Professional | 55 · Aftercare only | $0.63 | $0.71 | $0.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.42 Median $0.48 Typical High $0.50 | Professional | 56 · Pre-op care only | $0.42 | $0.48 | $0.50 |
BCBS Michigan Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
BCBS Michigan Setting Professional Modifier None Typical Low $3.31 Median $3.47 Typical High $3.80 | Professional | None | $3.31 | $3.47 | $3.80 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $4.90 Typical High $6.61 | Professional | None | $2.95 | $4.90 | $6.61 |
Health Alliance Plan Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $15.49 | Facility | None | $4.68 | $4.68 | $15.49 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $2.34 Median $2.34 Typical High $3.63 | Facility | 52 · Reduced service | $2.34 | $2.34 | $3.63 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $1.48 | Facility | 53 · Discontinued | $0.93 | $0.93 | $1.48 |
Health Alliance Plan Setting Facility Modifier 55 · Aftercare only Typical Low $0.71 Median $0.71 Typical High $1.10 | Facility | 55 · Aftercare only | $0.71 | $0.71 | $1.10 |
Health Alliance Plan Setting Facility Modifier 56 · Pre-op care only Typical Low $0.47 Median $0.47 Typical High $0.72 | Facility | 56 · Pre-op care only | $0.47 | $0.47 | $0.72 |
Health Alliance Plan Setting Professional Modifier None Typical Low $4.68 Median $5.25 Typical High $6.76 | Professional | None | $4.68 | $5.25 | $6.76 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | 52 · Reduced service | $2.34 | $2.34 | $2.34 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $0.93 | Professional | 53 · Discontinued | $0.93 | $0.93 | $0.93 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.71 Median $0.71 Typical High $0.71 | Professional | 55 · Aftercare only | $0.71 | $0.71 | $0.71 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.47 Median $0.47 Typical High $0.47 | Professional | 56 · Pre-op care only | $0.47 | $0.47 | $0.47 |
Priority Health Setting Professional Modifier None Typical Low $2.95 Median $4.90 Typical High $6.03 | Professional | None | $2.95 | $4.90 | $6.03 |
United Setting Facility Modifier None Typical Low $2.95 Median $4.47 Typical High $5.89 | Facility | None | $2.95 | $4.47 | $5.89 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.63 Typical High $6.17 | Professional | None | $2.09 | $3.63 | $6.17 |
Where Michigan sits
The same service costs 3.6 times more in Mississippi than in Kentucky. 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· 24th of 51
$4.68
MS $8.91KY $2.45
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.