How much rates vary
Facilitymedian $100 · 10th to 90th $44 to $204Professionalmedian $35 · 10th to 90th $21 to $44
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 $39.81 Median $39.81 Typical High $40.74 | Facility | None | $39.81 | $39.81 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $41.69 | Professional | None | $39.81 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $19.95 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $7.94 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $29.51 Median $30.90 Typical High $30.90 | Professional | 54 · Surgery only | $29.51 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $6.17 Typical High $6.17 | Professional | 55 · Aftercare only | $5.89 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.17 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.98 | $4.17 | $4.17 |
BCBS Michigan Setting Facility Modifier None Typical Low $52.48 Median $125.89 Typical High $234.42 | Facility | None | $52.48 | $125.89 | $234.42 |
BCBS Michigan Setting Professional Modifier None Typical Low $41.69 Median $43.65 Typical High $43.65 | Professional | None | $41.69 | $43.65 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $25.70 Typical High $25.70 | Professional | None | $18.20 | $25.70 | $25.70 |
Health Alliance Plan Setting Facility Modifier None Typical Low $33.11 Median $81.28 Typical High $87.10 | Facility | None | $33.11 | $81.28 | $87.10 |
Health Alliance Plan Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $39.81 | Professional | None | $30.20 | $33.11 | $39.81 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $16.60 | $16.60 | $16.60 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $6.61 | $6.61 | $6.61 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 54 · Surgery only | $25.12 | $25.12 | $25.12 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 55 · Aftercare only | $5.01 | $5.01 | $5.01 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | 56 · Pre-op care only | $3.31 | $3.31 | $3.31 |
Priority Health Setting Professional Modifier None Typical Low $18.20 Median $25.70 Typical High $25.70 | Professional | None | $18.20 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $15.49 Median $20.42 Typical High $25.12 | Professional | None | $15.49 | $20.42 | $25.12 |
Where Michigan sits
The same service costs 2.7 times more in Hawaii than in New York. 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· 13th of 51
$37.15
HI $47.86NY $17.78
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.