How much rates vary
Facilitymedian $54 · 10th to 90th $23 to $110Professionalmedian $19 · 10th to 90th $11 to $23
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 $21.38 Median $21.38 Typical High $21.88 | Facility | None | $21.38 | $21.38 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $22.39 Typical High $22.39 | Professional | None | $21.38 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $10.72 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $4.27 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.85 Median $16.60 Typical High $16.60 | Professional | 54 · Surgery only | $15.85 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.31 Typical High $3.31 | Professional | 55 · Aftercare only | $3.16 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.24 Typical High $2.24 | Professional | 56 · Pre-op care only | $2.14 | $2.24 | $2.24 |
BCBS Michigan Setting Facility Modifier None Typical Low $28.18 Median $67.61 Typical High $125.89 | Facility | None | $28.18 | $67.61 | $125.89 |
BCBS Michigan Setting Professional Modifier None Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | None | $22.39 | $23.44 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $13.80 | Professional | None | $9.77 | $13.80 | $13.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $17.78 Median $43.65 Typical High $46.77 | Facility | None | $17.78 | $43.65 | $46.77 |
Health Alliance Plan Setting Professional Modifier None Typical Low $16.22 Median $17.78 Typical High $21.38 | Professional | None | $16.22 | $17.78 | $21.38 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 52 · Reduced service | $8.91 | $8.91 | $8.91 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $3.63 | $3.63 | $3.63 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 54 · Surgery only | $13.49 | $13.49 | $13.49 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | 55 · Aftercare only | $2.69 | $2.69 | $2.69 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.82 | $1.82 | $1.82 |
Priority Health Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $13.80 | Professional | None | $9.77 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $8.32 Median $10.96 Typical High $13.49 | Professional | None | $8.32 | $10.96 | $13.49 |
Where Michigan sits
The same service costs 3.2 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
$19.95
RI $30.20NY $9.55
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.