How much rates vary
Facilitymedian $191 · 10th to 90th $83 to $389Professionalmedian $68 · 10th to 90th $40 to $83
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 $75.86 Median $75.86 Typical High $77.62 | Facility | None | $75.86 | $75.86 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $79.43 Typical High $79.43 | Professional | None | $75.86 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $38.02 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.14 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $58.88 Typical High $58.88 | Professional | 54 · Surgery only | $56.23 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $11.22 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.59 | $7.94 | $7.94 |
BCBS Michigan Setting Facility Modifier None Typical Low $100.00 Median $239.88 Typical High $446.68 | Facility | None | $100.00 | $239.88 | $446.68 |
BCBS Michigan Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $83.18 | Professional | None | $79.43 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $48.98 | Professional | None | $34.67 | $48.98 | $48.98 |
Health Alliance Plan Setting Facility Modifier None Typical Low $63.10 Median $154.88 Typical High $165.96 | Facility | None | $63.10 | $154.88 | $165.96 |
Health Alliance Plan Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $75.86 | Professional | None | $57.54 | $63.10 | $75.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $31.62 | $31.62 | $31.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 54 · Surgery only | $47.86 | $47.86 | $47.86 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $9.55 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $6.31 | $6.31 | $6.31 |
Priority Health Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $48.98 | Professional | None | $34.67 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $47.86 | Professional | None | $29.51 | $38.90 | $47.86 |
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
$72.44
HI $91.20NY $33.11
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.