How much rates vary
Facilitymedian $36 · 10th to 90th $16 to $76Professionalmedian $13 · 10th to 90th $8 to $16
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 $14.45 Median $14.45 Typical High $15.14 | Facility | None | $14.45 | $14.45 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $15.14 | Professional | None | $14.45 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.59 Typical High $7.59 | Professional | 52 · Reduced service | $7.24 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.02 Typical High $3.02 | Professional | 53 · Discontinued | $2.88 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.96 Median $11.48 Typical High $11.48 | Professional | 54 · Surgery only | $10.96 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $2.29 Typical High $2.29 | Professional | 55 · Aftercare only | $2.19 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.51 Typical High $1.51 | Professional | 56 · Pre-op care only | $1.45 | $1.51 | $1.51 |
BCBS Michigan Setting Facility Modifier None Typical Low $19.50 Median $45.71 Typical High $85.11 | Facility | None | $19.50 | $45.71 | $85.11 |
BCBS Michigan Setting Professional Modifier None Typical Low $15.49 Median $16.22 Typical High $16.22 | Professional | None | $15.49 | $16.22 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $9.55 | Professional | None | $6.76 | $9.55 | $9.55 |
Health Alliance Plan Setting Facility Modifier None Typical Low $12.30 Median $29.51 Typical High $32.36 | Facility | None | $12.30 | $29.51 | $32.36 |
Health Alliance Plan Setting Professional Modifier None Typical Low $10.96 Median $12.30 Typical High $14.79 | Professional | None | $10.96 | $12.30 | $14.79 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 52 · Reduced service | $6.17 | $6.17 | $6.17 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.45 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 54 · Surgery only | $9.33 | $9.33 | $9.33 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 55 · Aftercare only | $1.86 | $1.86 | $1.86 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | 56 · Pre-op care only | $1.23 | $1.23 | $1.23 |
Priority Health Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $9.55 | Professional | None | $6.76 | $9.55 | $9.55 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.59 Typical High $9.33 | Professional | None | $5.75 | $7.59 | $9.33 |
Where Michigan sits
The same service costs 3.2 times more in Rhode Island 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· 16th of 51
$13.80
RI $21.38NY $6.61
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.