How much rates vary
Facilitymedian $81 · 10th to 90th $36 to $166Professionalmedian $29 · 10th to 90th $17 to $36
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 $32.36 Median $32.36 Typical High $33.88 | Facility | None | $32.36 | $32.36 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $33.88 | Professional | None | $32.36 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $16.22 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $6.46 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | 54 · Surgery only | $24.55 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $5.13 Typical High $5.13 | Professional | 55 · Aftercare only | $4.90 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.39 Typical High $3.39 | Professional | 56 · Pre-op care only | $3.24 | $3.39 | $3.39 |
BCBS Michigan Setting Facility Modifier None Typical Low $42.66 Median $102.33 Typical High $190.55 | Facility | None | $42.66 | $102.33 | $190.55 |
BCBS Michigan Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | None | $34.67 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $21.38 Typical High $21.38 | Professional | None | $15.14 | $21.38 | $21.38 |
Health Alliance Plan Setting Facility Modifier None Typical Low $27.54 Median $66.07 Typical High $72.44 | Facility | None | $27.54 | $66.07 | $72.44 |
Health Alliance Plan Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $33.11 | Professional | None | $24.55 | $27.54 | $33.11 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $13.80 | $13.80 | $13.80 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $5.50 | $5.50 | $5.50 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 54 · Surgery only | $20.42 | $20.42 | $20.42 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 55 · Aftercare only | $4.07 | $4.07 | $4.07 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | 56 · Pre-op care only | $2.75 | $2.75 | $2.75 |
Priority Health Setting Professional Modifier None Typical Low $15.14 Median $21.38 Typical High $21.38 | Professional | None | $15.14 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $20.89 | Professional | None | $12.88 | $16.98 | $20.89 |
Where Michigan sits
The same service costs 2.8 times more in Hawaii 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
$30.90
HI $39.81NY $14.45
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.