How much rates vary
Facilitymedian $56 · 10th to 90th $25 to $115Professionalmedian $20 · 10th to 90th $12 to $25
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 $22.39 Median $22.39 Typical High $23.44 | Facility | None | $22.39 | $22.39 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | None | $22.39 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $11.22 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $4.47 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.98 Median $17.78 Typical High $17.78 | Professional | 54 · Surgery only | $16.98 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.55 Typical High $3.55 | Professional | 55 · Aftercare only | $3.39 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.34 Typical High $2.34 | Professional | 56 · Pre-op care only | $2.24 | $2.34 | $2.34 |
BCBS Michigan Setting Facility Modifier None Typical Low $29.51 Median $70.79 Typical High $131.83 | Facility | None | $29.51 | $70.79 | $131.83 |
BCBS Michigan Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $25.12 | Professional | None | $23.99 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $14.79 Typical High $14.79 | Professional | None | $10.47 | $14.79 | $14.79 |
Health Alliance Plan Setting Facility Modifier None Typical Low $19.05 Median $45.71 Typical High $50.12 | Facility | None | $19.05 | $45.71 | $50.12 |
Health Alliance Plan Setting Professional Modifier None Typical Low $16.98 Median $19.05 Typical High $22.91 | Professional | None | $16.98 | $19.05 | $22.91 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $9.55 | $9.55 | $9.55 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.80 | $3.80 | $3.80 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 54 · Surgery only | $14.13 | $14.13 | $14.13 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | 55 · Aftercare only | $2.82 | $2.82 | $2.82 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $1.91 |
Priority Health Setting Professional Modifier None Typical Low $10.47 Median $14.79 Typical High $14.79 | Professional | None | $10.47 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $8.91 Median $11.75 Typical High $14.45 | Professional | None | $8.91 | $11.75 | $14.45 |
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· 17th of 51
$19.95
HI $27.54NY $10.00
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.