How much rates vary
Facilitymedian $93 · 10th to 90th $36 to $170Professionalmedian $35 · 10th to 90th $18 to $45
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 $33.11 Median $33.11 Typical High $33.88 | Facility | None | $33.11 | $33.11 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $39.81 | Professional | None | $33.11 | $34.67 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $16.60 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.61 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | 54 · Surgery only | $24.55 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $5.13 Typical High $5.13 | Professional | 55 · Aftercare only | $4.90 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.47 Typical High $3.47 | Professional | 56 · Pre-op care only | $3.31 | $3.47 | $3.47 |
BCBS Michigan Setting Facility Modifier None Typical Low $43.65 Median $104.71 Typical High $194.98 | Facility | None | $43.65 | $104.71 | $194.98 |
BCBS Michigan Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | None | $34.67 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $21.38 Typical High $21.38 | Professional | None | $15.14 | $21.38 | $21.38 |
Health Alliance Plan Setting Facility Modifier None Typical Low $27.54 Median $93.33 Typical High $100.00 | Facility | None | $27.54 | $93.33 | $100.00 |
Health Alliance Plan Setting Professional Modifier None Typical Low $27.54 Median $34.67 Typical High $48.98 | Professional | None | $27.54 | $34.67 | $48.98 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $13.80 | $13.80 | $13.80 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 53 · Discontinued | $5.62 | $5.62 | $5.62 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 54 · Surgery only | $20.89 | $20.89 | $20.89 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | 55 · Aftercare only | $4.17 | $4.17 | $4.17 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | 56 · Pre-op care only | $2.75 | $2.75 | $2.75 |
Priority Health Setting Professional Modifier None Typical Low $15.14 Median $21.38 Typical High $21.38 | Professional | None | $15.14 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $20.89 | Professional | None | $12.88 | $16.98 | $20.89 |
Where Michigan sits
The same service costs 3.1 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· 13th of 51
$34.67
RI $45.71NY $14.79
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.