How much rates vary
Facilitymedian $18 · 10th to 90th $8 to $37Professionalmedian $7 · 10th to 90th $4 to $8
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 $7.24 Median $7.24 Typical High $7.59 | Facility | None | $7.24 | $7.24 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.59 Typical High $7.59 | Professional | None | $7.24 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.63 Median $3.80 Typical High $3.80 | Professional | 52 · Reduced service | $3.63 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.51 Typical High $1.51 | Professional | 53 · Discontinued | $1.45 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5.50 Median $5.75 Typical High $5.75 | Professional | 54 · Surgery only | $5.50 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.10 Median $1.12 Typical High $1.12 | Professional | 55 · Aftercare only | $1.10 | $1.12 | $1.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $0.76 Typical High $0.76 | Professional | 56 · Pre-op care only | $0.72 | $0.76 | $0.76 |
BCBS Michigan Setting Facility Modifier None Typical Low $9.55 Median $22.91 Typical High $42.66 | Facility | None | $9.55 | $22.91 | $42.66 |
BCBS Michigan Setting Professional Modifier None Typical Low $7.76 Median $8.13 Typical High $8.13 | Professional | None | $7.76 | $8.13 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $4.79 | Professional | None | $3.39 | $4.79 | $4.79 |
Health Alliance Plan Setting Facility Modifier None Typical Low $6.17 Median $14.79 Typical High $16.22 | Facility | None | $6.17 | $14.79 | $16.22 |
Health Alliance Plan Setting Professional Modifier None Typical Low $5.50 Median $6.17 Typical High $7.41 | Professional | None | $5.50 | $6.17 | $7.41 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 52 · Reduced service | $3.09 | $3.09 | $3.09 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | 53 · Discontinued | $1.23 | $1.23 | $1.23 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | 54 · Surgery only | $4.57 | $4.57 | $4.57 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.91 Median $0.91 Typical High $0.91 | Professional | 55 · Aftercare only | $0.91 | $0.91 | $0.91 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | 56 · Pre-op care only | $0.62 | $0.62 | $0.62 |
Priority Health Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $4.79 | Professional | None | $3.39 | $4.79 | $4.79 |
United Setting Professional Modifier None Typical Low $2.88 Median $3.80 Typical High $4.68 | Professional | None | $2.88 | $3.80 | $4.68 |
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· 13th of 51
$7.08
RI $10.72NY $3.31
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.