How much rates vary
Facilitymedian $1 · 10th to 90th $0 to $1Professionalmedian $1 · 10th to 90th $0 to $1
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $0.85 Median $0.85 Typical High $0.87 | Facility | None | $0.85 | $0.85 | $0.87 |
Aetna Setting Professional Modifier None Typical Low $0.85 Median $0.95 Typical High $0.98 | Professional | None | $0.85 | $0.95 | $0.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.43 Median $0.47 Typical High $0.49 | Professional | 52 · Reduced service | $0.43 | $0.47 | $0.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.17 Median $0.19 Typical High $0.19 | Professional | 53 · Discontinued | $0.17 | $0.19 | $0.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.13 Median $0.14 Typical High $0.15 | Professional | 55 · Aftercare only | $0.13 | $0.14 | $0.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.10 Typical High $0.10 | Professional | 56 · Pre-op care only | $0.09 | $0.10 | $0.10 |
Ambetter Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $0.38 Median $0.48 Typical High $1.02 | Professional | None | $0.38 | $0.48 | $1.02 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.32 Median $0.87 Typical High $1.05 | Facility | None | $0.32 | $0.87 | $1.05 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.30 Median $0.38 Typical High $1.05 | Professional | None | $0.30 | $0.38 | $1.05 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 52 · Reduced service | $0.52 | $0.52 | $0.52 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | 53 · Discontinued | $0.21 | $0.21 | $0.21 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | 55 · Aftercare only | $0.16 | $0.16 | $0.16 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.11 | $0.11 | $0.11 |
Priority Health Setting Professional Modifier None Typical Low $0.38 Median $0.85 Typical High $1.12 | Professional | None | $0.38 | $0.85 | $1.12 |
United Setting Professional Modifier None Typical Low $0.89 Median $1.15 Typical High $1.62 | Professional | None | $0.89 | $1.15 | $1.62 |
Where Michigan sits
The same service costs 104.7 times more in Wyoming than in Connecticut. 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· 40th of 51
$0.95
WY $75.86CT $0.72
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.