How much rates vary
Facilitymedian $107 · 10th to 90th $48 to $219Professionalmedian $41 · 10th to 90th $22 to $48
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 $42.66 Median $42.66 Typical High $44.67 | Facility | None | $42.66 | $42.66 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $44.67 Typical High $45.71 | Professional | None | $40.74 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $21.38 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $8.51 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $32.36 Median $33.88 Typical High $33.88 | Professional | 54 · Surgery only | $32.36 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.76 Typical High $6.76 | Professional | 55 · Aftercare only | $6.46 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $4.27 | $4.47 | $4.47 |
Ambetter Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
BCBS Michigan Setting Facility Modifier None Typical Low $56.23 Median $134.90 Typical High $251.19 | Facility | None | $56.23 | $134.90 | $251.19 |
BCBS Michigan Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $47.86 | Professional | None | $44.67 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $28.18 | Professional | None | $19.95 | $28.18 | $28.18 |
Health Alliance Plan Setting Facility Modifier None Typical Low $36.31 Median $87.10 Typical High $95.50 | Facility | None | $36.31 | $87.10 | $95.50 |
Health Alliance Plan Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $46.77 | Professional | None | $30.90 | $36.31 | $46.77 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $18.20 | $18.20 | $18.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.24 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 54 · Surgery only | $26.92 | $26.92 | $26.92 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $5.37 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $3.63 |
Priority Health Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $28.18 | Professional | None | $19.95 | $28.18 | $28.18 |
United Setting Professional Modifier None Typical Low $16.98 Median $22.39 Typical High $27.54 | Professional | None | $16.98 | $22.39 | $27.54 |
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· 12th of 51
$40.74
HI $51.29NY $18.62
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.