How much rates vary
Facilitymedian $1 · 10th to 90th $0 to $2Professionalmedian $0 · 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 $0.33 Median $0.41 Typical High $1.02 | Facility | None | $0.33 | $0.41 | $1.02 |
Aetna Setting Professional Modifier None Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | None | $0.33 | $0.33 | $0.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 52 · Reduced service | $0.17 | $0.17 | $0.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 53 · Discontinued | $0.07 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $0.51 Median $1.00 Typical High $1.95 | Facility | None | $0.51 | $1.00 | $1.95 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | None | $0.06 | $0.06 | $0.06 |
Cigna Setting Professional Modifier None Typical Low $0.35 Median $0.35 Typical High $0.83 | Professional | None | $0.35 | $0.35 | $0.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.33 Median $0.78 Typical High $2.14 | Facility | None | $0.33 | $0.78 | $2.14 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.33 Median $0.63 Typical High $0.83 | Professional | None | $0.33 | $0.63 | $0.83 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 52 · Reduced service | $0.17 | $0.17 | $0.17 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 53 · Discontinued | $0.07 | $0.07 | $0.07 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.05 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.03 |
Priority Health Setting Professional Modifier None Typical Low $0.35 Median $0.35 Typical High $0.83 | Professional | None | $0.35 | $0.35 | $0.83 |
United Setting Professional Modifier None Typical Low $0.34 Median $0.34 Typical High $0.35 | Professional | None | $0.34 | $0.34 | $0.35 |
Where Michigan sits
The same service costs 1.6 times more in Montana than in Michigan. 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· 51st of 51
$0.33
MT $0.52MI $0.33
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.