How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $6Professionalmedian $0 · 10th to 90th $0 to $3
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 $0.45 Median $1.26 Typical High $1.41 | Facility | None | $0.45 | $1.26 | $1.41 |
Aetna Setting Professional Modifier None Typical Low $0.45 Median $0.45 Typical High $0.45 | Professional | None | $0.45 | $0.45 | $0.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | 52 · Reduced service | $0.23 | $0.23 | $0.23 |
Aetna 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 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 55 · Aftercare only | $0.07 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.05 |
BCBS Michigan Setting Facility Modifier None Typical Low $0.72 Median $1.45 Typical High $2.82 | Facility | None | $0.72 | $1.45 | $2.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | None | $0.10 | $0.10 | $0.10 |
Cigna Setting Professional Modifier None Typical Low $0.48 Median $0.48 Typical High $0.55 | Professional | None | $0.48 | $0.48 | $0.55 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1.26 Median $2.40 Typical High $7.41 | Facility | None | $1.26 | $2.40 | $7.41 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.45 Median $2.51 Typical High $3.39 | Professional | None | $0.45 | $2.51 | $3.39 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | 52 · Reduced service | $0.23 | $0.23 | $0.23 |
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 $0.07 Median $0.07 Typical High $0.07 | Professional | 55 · Aftercare only | $0.07 | $0.07 | $0.07 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.05 |
Priority Health Setting Professional Modifier None Typical Low $0.48 Median $0.48 Typical High $0.62 | Professional | None | $0.48 | $0.48 | $0.62 |
United Setting Professional Modifier None Typical Low $0.47 Median $0.47 Typical High $0.48 | Professional | None | $0.47 | $0.47 | $0.48 |
Where Michigan sits
The same service costs 2.3 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
$0.45
MT $1.05MI $0.45
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.