How much rates vary
Facilitymedian $10 · 10th to 90th $4 to $19Professionalmedian $3 · 10th to 90th $2 to $4
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 $3.80 Median $3.80 Typical High $3.89 | Facility | None | $3.80 | $3.80 | $3.89 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.98 Typical High $3.98 | Professional | None | $3.80 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.91 Median $2.00 Typical High $2.00 | Professional | 52 · Reduced service | $1.91 | $2.00 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.79 Typical High $0.79 | Professional | 53 · Discontinued | $0.76 | $0.79 | $0.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.88 Median $3.02 Typical High $3.02 | Professional | 54 · Surgery only | $2.88 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $0.60 Typical High $0.60 | Professional | 55 · Aftercare only | $0.56 | $0.60 | $0.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.38 Median $0.40 Typical High $0.40 | Professional | 56 · Pre-op care only | $0.38 | $0.40 | $0.40 |
BCBS Michigan Setting Facility Modifier None Typical Low $5.01 Median $12.02 Typical High $22.39 | Facility | None | $5.01 | $12.02 | $22.39 |
BCBS Michigan Setting Professional Modifier None Typical Low $3.98 Median $4.27 Typical High $4.27 | Professional | None | $3.98 | $4.27 | $4.27 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $2.45 Typical High $2.45 | Professional | None | $1.78 | $2.45 | $2.45 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3.24 Median $7.76 Typical High $8.51 | Facility | None | $3.24 | $7.76 | $8.51 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2.88 Median $3.24 Typical High $3.80 | Professional | None | $2.88 | $3.24 | $3.80 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | 52 · Reduced service | $1.62 | $1.62 | $1.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | 53 · Discontinued | $0.65 | $0.65 | $0.65 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | 54 · Surgery only | $2.40 | $2.40 | $2.40 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.48 Median $0.48 Typical High $0.48 | Professional | 55 · Aftercare only | $0.48 | $0.48 | $0.48 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.32 Typical High $0.32 | Professional | 56 · Pre-op care only | $0.32 | $0.32 | $0.32 |
Priority Health Setting Professional Modifier None Typical Low $1.78 Median $2.45 Typical High $2.45 | Professional | None | $1.78 | $2.45 | $2.45 |
United Setting Professional Modifier None Typical Low $1.51 Median $2.00 Typical High $2.45 | Professional | None | $1.51 | $2.00 | $2.45 |
Where Michigan sits
The same service costs 4.0 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· 17th of 51
$3.55
RI $6.76NY $1.70
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.