How much rates vary
Facilitymedian $19 · 10th to 90th $9 to $39Professionalmedian $7 · 10th to 90th $4 to $9
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 $7.59 Median $7.59 Typical High $7.76 | Facility | None | $7.59 | $7.59 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.94 Typical High $7.94 | Professional | None | $7.59 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.80 Median $3.98 Typical High $3.98 | Professional | 52 · Reduced service | $3.80 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.58 Typical High $1.58 | Professional | 53 · Discontinued | $1.51 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5.75 Median $5.89 Typical High $5.89 | Professional | 54 · Surgery only | $5.75 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.20 Typical High $1.20 | Professional | 55 · Aftercare only | $1.12 | $1.20 | $1.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $0.79 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.76 | $0.79 | $0.79 |
BCBS Michigan Setting Facility Modifier None Typical Low $10.00 Median $23.99 Typical High $44.67 | Facility | None | $10.00 | $23.99 | $44.67 |
BCBS Michigan Setting Professional Modifier None Typical Low $7.94 Median $8.51 Typical High $8.51 | Professional | None | $7.94 | $8.51 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $4.90 Typical High $4.90 | Professional | None | $3.47 | $4.90 | $4.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $6.46 Median $15.49 Typical High $16.98 | Facility | None | $6.46 | $15.49 | $16.98 |
Health Alliance Plan Setting Professional Modifier None Typical Low $5.75 Median $6.46 Typical High $7.94 | Professional | None | $5.75 | $6.46 | $7.94 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 52 · Reduced service | $3.24 | $3.24 | $3.24 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | 53 · Discontinued | $1.29 | $1.29 | $1.29 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 54 · Surgery only | $4.79 | $4.79 | $4.79 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.95 Median $0.95 Typical High $0.95 | Professional | 55 · Aftercare only | $0.95 | $0.95 | $0.95 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | 56 · Pre-op care only | $0.65 | $0.65 | $0.65 |
Priority Health Setting Professional Modifier None Typical Low $3.47 Median $4.90 Typical High $4.90 | Professional | None | $3.47 | $4.90 | $4.90 |
United Setting Professional Modifier None Typical Low $2.95 Median $3.98 Typical High $4.90 | Professional | None | $2.95 | $3.98 | $4.90 |
Where Michigan sits
The same service costs 4.1 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
$7.41
RI $13.80NY $3.39
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.