How much rates vary
Facilitymedian $110 · 10th to 90th $1 to $251Professionalmedian $1 · 10th to 90th $1 to $52
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 $0.81 Median $0.81 Typical High $0.81 | Facility | None | $0.81 | $0.81 | $0.81 |
Aetna Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | None | $0.81 | $0.81 | $0.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.41 Median $0.41 Typical High $0.41 | Professional | 52 · Reduced service | $0.41 | $0.41 | $0.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | 53 · Discontinued | $0.16 | $0.16 | $0.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | 55 · Aftercare only | $0.12 | $0.12 | $0.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.08 |
BCBS Michigan Setting Facility Modifier None Typical Low $63.10 Median $158.49 Typical High $316.23 | Facility | None | $63.10 | $158.49 | $316.23 |
BCBS Michigan Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $52.48 | Professional | None | $50.12 | $52.48 | $52.48 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.91 Median $1.02 Typical High $2.63 | Facility | None | $0.91 | $1.02 | $2.63 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.81 Median $0.89 Typical High $1.20 | Professional | None | $0.81 | $0.89 | $1.20 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $0.41 Median $0.41 Typical High $0.41 | Professional | 52 · Reduced service | $0.41 | $0.41 | $0.41 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | 53 · Discontinued | $0.16 | $0.16 | $0.16 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | 55 · Aftercare only | $0.12 | $0.12 | $0.12 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.08 |
United Setting Facility Modifier None Typical Low $56.23 Median $74.13 Typical High $154.88 | Facility | None | $56.23 | $74.13 | $154.88 |
Where Michigan sits
The same service costs 173.8 times more in Missouri than in Illinois. 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
$1.05
MO $141IL $0.81
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.