How much rates vary
Facilitymedian $34 · 10th to 90th $15 to $71Professionalmedian $14 · 10th to 90th $8 to $15
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 $13.80 Median $13.80 Typical High $14.13 | Facility | None | $13.80 | $13.80 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $14.45 Typical High $15.14 | Professional | None | $13.80 | $14.45 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $6.92 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.75 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.23 Median $10.72 Typical High $10.72 | Professional | 54 · Surgery only | $10.23 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.14 Typical High $2.14 | Professional | 55 · Aftercare only | $2.04 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $1.45 Typical High $1.45 | Professional | 56 · Pre-op care only | $1.38 | $1.45 | $1.45 |
BCBS Michigan Setting Facility Modifier None Typical Low $18.20 Median $43.65 Typical High $81.28 | Facility | None | $18.20 | $43.65 | $81.28 |
BCBS Michigan Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $15.14 | Professional | None | $14.45 | $15.14 | $15.14 |
CareSource Setting Professional Modifier None Typical Low $15.14 Median $21.38 Typical High $21.38 | Professional | None | $15.14 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $8.91 Typical High $8.91 | Professional | None | $6.31 | $8.91 | $8.91 |
Health Alliance Plan Setting Facility Modifier None Typical Low $11.48 Median $28.18 Typical High $30.20 | Facility | None | $11.48 | $28.18 | $30.20 |
Health Alliance Plan Setting Professional Modifier None Typical Low $10.23 Median $11.48 Typical High $15.49 | Professional | None | $10.23 | $11.48 | $15.49 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 52 · Reduced service | $5.75 | $5.75 | $5.75 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.29 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 54 · Surgery only | $8.71 | $8.71 | $8.71 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | 55 · Aftercare only | $1.74 | $1.74 | $1.74 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | 56 · Pre-op care only | $1.15 | $1.15 | $1.15 |
Priority Health Setting Professional Modifier None Typical Low $6.31 Median $8.91 Typical High $8.91 | Professional | None | $6.31 | $8.91 | $8.91 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.08 Typical High $8.71 | Professional | None | $5.37 | $7.08 | $8.71 |
Where Michigan sits
The same service costs 4.5 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· 14th of 51
$13.80
RI $27.54NY $6.17
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.