How much rates vary
Facilitymedian $12 · 10th to 90th $5 to $25Professionalmedian $5 · 10th to 90th $3 to $5
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 $4.79 Median $4.79 Typical High $5.01 | Facility | None | $4.79 | $4.79 | $5.01 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $5.13 Typical High $5.13 | Professional | None | $4.79 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.45 Median $2.51 Typical High $2.51 | Professional | 52 · Reduced service | $2.45 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $1.00 Typical High $1.00 | Professional | 53 · Discontinued | $0.98 | $1.00 | $1.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.63 Median $3.80 Typical High $3.80 | Professional | 54 · Surgery only | $3.63 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.72 Median $0.76 Typical High $0.76 | Professional | 55 · Aftercare only | $0.72 | $0.76 | $0.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.49 Median $0.51 Typical High $0.51 | Professional | 56 · Pre-op care only | $0.49 | $0.51 | $0.51 |
BCBS Michigan Setting Facility Modifier None Typical Low $6.46 Median $15.14 Typical High $28.84 | Facility | None | $6.46 | $15.14 | $28.84 |
BCBS Michigan Setting Professional Modifier None Typical Low $5.13 Median $5.37 Typical High $5.37 | Professional | None | $5.13 | $5.37 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $3.16 Typical High $3.16 | Professional | None | $2.24 | $3.16 | $3.16 |
Health Alliance Plan Setting Facility Modifier None Typical Low $4.07 Median $10.00 Typical High $10.72 | Facility | None | $4.07 | $10.00 | $10.72 |
Health Alliance Plan Setting Professional Modifier None Typical Low $3.72 Median $4.07 Typical High $5.37 | Professional | None | $3.72 | $4.07 | $5.37 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.04 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | 53 · Discontinued | $0.81 | $0.81 | $0.81 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 54 · Surgery only | $3.09 | $3.09 | $3.09 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | 55 · Aftercare only | $0.62 | $0.62 | $0.62 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.41 Median $0.41 Typical High $0.41 | Professional | 56 · Pre-op care only | $0.41 | $0.41 | $0.41 |
Priority Health Setting Professional Modifier None Typical Low $2.24 Median $3.16 Typical High $3.16 | Professional | None | $2.24 | $3.16 | $3.16 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.51 Typical High $3.09 | Professional | None | $1.91 | $2.51 | $3.09 |
Where Michigan sits
The same service costs 3.8 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
$4.79
RI $8.32NY $2.19
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.