How much rates vary
Facilitymedian $41 · 10th to 90th $18 to $83Professionalmedian $14 · 10th to 90th $9 to $18
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 $16.22 Median $16.22 Typical High $16.60 | Facility | None | $16.22 | $16.22 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.98 Typical High $16.98 | Professional | None | $16.22 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $8.13 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.39 Typical High $3.39 | Professional | 53 · Discontinued | $3.24 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $12.30 Median $12.59 Typical High $12.59 | Professional | 54 · Surgery only | $12.30 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $2.51 Typical High $2.51 | Professional | 55 · Aftercare only | $2.45 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $1.70 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.62 | $1.70 | $1.70 |
BCBS Michigan Setting Facility Modifier None Typical Low $21.38 Median $51.29 Typical High $95.50 | Facility | None | $21.38 | $51.29 | $95.50 |
BCBS Michigan Setting Professional Modifier None Typical Low $16.98 Median $18.20 Typical High $18.20 | Professional | None | $16.98 | $18.20 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $10.72 | Professional | None | $7.59 | $10.72 | $10.72 |
Health Alliance Plan Setting Facility Modifier None Typical Low $13.80 Median $33.11 Typical High $36.31 | Facility | None | $13.80 | $33.11 | $36.31 |
Health Alliance Plan Setting Professional Modifier None Typical Low $12.30 Median $13.80 Typical High $16.22 | Professional | None | $12.30 | $13.80 | $16.22 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $6.92 | $6.92 | $6.92 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | 53 · Discontinued | $2.75 | $2.75 | $2.75 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 54 · Surgery only | $10.23 | $10.23 | $10.23 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | 55 · Aftercare only | $2.04 | $2.04 | $2.04 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | 56 · Pre-op care only | $1.38 | $1.38 | $1.38 |
Priority Health Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $10.72 | Professional | None | $7.59 | $10.72 | $10.72 |
United Setting Professional Modifier None Typical Low $6.31 Median $8.51 Typical High $10.47 | Professional | None | $6.31 | $8.51 | $10.47 |
Where Michigan sits
The same service costs 2.7 times more in Idaho 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· 12th of 51
$15.49
ID $19.50NY $7.24
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.