How much rates vary
Facilitymedian $13 · 10th to 90th $6 to $26Professionalmedian $5 · 10th to 90th $3 to $6
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 $5.13 Median $5.13 Typical High $5.25 | Facility | None | $5.13 | $5.13 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.37 Typical High $5.37 | Professional | None | $5.13 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.57 Median $2.69 Typical High $2.69 | Professional | 52 · Reduced service | $2.57 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.07 Typical High $1.07 | Professional | 53 · Discontinued | $1.02 | $1.07 | $1.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.80 Median $3.98 Typical High $3.98 | Professional | 54 · Surgery only | $3.80 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.78 Median $0.79 Typical High $0.79 | Professional | 55 · Aftercare only | $0.78 | $0.79 | $0.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.51 Median $0.54 Typical High $0.54 | Professional | 56 · Pre-op care only | $0.51 | $0.54 | $0.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $6.76 Median $16.22 Typical High $30.20 | Facility | None | $6.76 | $16.22 | $30.20 |
BCBS Michigan Setting Professional Modifier None Typical Low $5.37 Median $5.75 Typical High $5.75 | Professional | None | $5.37 | $5.75 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $3.31 Typical High $3.31 | Professional | None | $2.34 | $3.31 | $3.31 |
Health Alliance Plan Setting Facility Modifier None Typical Low $4.37 Median $10.47 Typical High $11.48 | Facility | None | $4.37 | $10.47 | $11.48 |
Health Alliance Plan Setting Professional Modifier None Typical Low $3.89 Median $4.37 Typical High $5.13 | Professional | None | $3.89 | $4.37 | $5.13 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | 52 · Reduced service | $2.19 | $2.19 | $2.19 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | 53 · Discontinued | $0.87 | $0.87 | $0.87 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 54 · Surgery only | $3.24 | $3.24 | $3.24 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | 55 · Aftercare only | $0.65 | $0.65 | $0.65 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.43 Median $0.43 Typical High $0.43 | Professional | 56 · Pre-op care only | $0.43 | $0.43 | $0.43 |
Priority Health Setting Professional Modifier None Typical Low $2.34 Median $3.31 Typical High $3.31 | Professional | None | $2.34 | $3.31 | $3.31 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.69 Typical High $3.31 | Professional | None | $2.04 | $2.69 | $3.31 |
Where Michigan sits
The same service costs 3.0 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· 19th of 51
$4.57
RI $6.76NY $2.29
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.