How much rates vary
Facilitymedian $76 · 10th to 90th $34 to $155Professionalmedian $27 · 10th to 90th $16 to $34
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 $30.20 Median $30.20 Typical High $31.62 | Facility | None | $30.20 | $30.20 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | None | $30.20 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.14 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $6.03 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $22.91 Median $23.99 Typical High $23.99 | Professional | 54 · Surgery only | $22.91 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.57 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $3.02 | $3.16 | $3.16 |
BCBS Michigan Setting Facility Modifier None Typical Low $39.81 Median $95.50 Typical High $177.83 | Facility | None | $39.81 | $95.50 | $177.83 |
BCBS Michigan Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $33.88 | Professional | None | $32.36 | $33.88 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $19.95 Typical High $19.95 | Professional | None | $14.13 | $19.95 | $19.95 |
Health Alliance Plan Setting Facility Modifier None Typical Low $25.70 Median $61.66 Typical High $67.61 | Facility | None | $25.70 | $61.66 | $67.61 |
Health Alliance Plan Setting Professional Modifier None Typical Low $22.91 Median $25.70 Typical High $30.90 | Professional | None | $22.91 | $25.70 | $30.90 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $12.88 | $12.88 | $12.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $5.13 | $5.13 | $5.13 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 54 · Surgery only | $19.05 | $19.05 | $19.05 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $3.89 | $3.89 | $3.89 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | 56 · Pre-op care only | $2.57 | $2.57 | $2.57 |
Priority Health Setting Professional Modifier None Typical Low $14.13 Median $19.95 Typical High $19.95 | Professional | None | $14.13 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $12.02 Median $15.85 Typical High $19.50 | Professional | None | $12.02 | $15.85 | $19.50 |
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
$28.84
HI $37.15NY $13.49
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.