How much rates vary
Facilitymedian $58 · 10th to 90th $26 to $120Professionalmedian $23 · 10th to 90th $12 to $26
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 $22.91 Median $22.91 Typical High $23.99 | Facility | None | $22.91 | $22.91 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $23.99 Typical High $23.99 | Professional | None | $22.39 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $11.48 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.68 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.38 Median $18.20 Typical High $18.20 | Professional | 54 · Surgery only | $17.38 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $3.63 Typical High $3.63 | Professional | 55 · Aftercare only | $3.47 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.40 Typical High $2.40 | Professional | 56 · Pre-op care only | $2.29 | $2.40 | $2.40 |
BCBS Michigan Setting Facility Modifier None Typical Low $30.90 Median $72.44 Typical High $134.90 | Facility | None | $30.90 | $72.44 | $134.90 |
BCBS Michigan Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | None | $24.55 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $15.14 | Professional | None | $10.72 | $15.14 | $15.14 |
Health Alliance Plan Setting Facility Modifier None Typical Low $19.50 Median $46.77 Typical High $51.29 | Facility | None | $19.50 | $46.77 | $51.29 |
Health Alliance Plan Setting Professional Modifier None Typical Low $17.38 Median $19.50 Typical High $25.12 | Professional | None | $17.38 | $19.50 | $25.12 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $9.77 | $9.77 | $9.77 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.89 | $3.89 | $3.89 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 54 · Surgery only | $14.79 | $14.79 | $14.79 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | 55 · Aftercare only | $2.95 | $2.95 | $2.95 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.95 | $1.95 | $1.95 |
Priority Health Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $15.14 | Professional | None | $10.72 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $9.12 Median $12.02 Typical High $14.79 | Professional | None | $9.12 | $12.02 | $14.79 |
Where Michigan sits
The same service costs 3.5 times more in Rhode Island 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
$22.91
RI $36.31NY $10.23
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.