How much rates vary
Facilitymedian $52 · 10th to 90th $23 to $107Professionalmedian $20 · 10th to 90th $11 to $23
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 $20.89 Median $20.89 Typical High $21.88 | Facility | None | $20.89 | $20.89 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $21.88 Typical High $22.91 | Professional | None | $19.95 | $21.88 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $10.47 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $4.17 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.85 Median $16.60 Typical High $16.60 | Professional | 54 · Surgery only | $15.85 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.31 Typical High $3.31 | Professional | 55 · Aftercare only | $3.16 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.19 Typical High $2.19 | Professional | 56 · Pre-op care only | $2.09 | $2.19 | $2.19 |
BCBS Michigan Setting Facility Modifier None Typical Low $27.54 Median $66.07 Typical High $123.03 | Facility | None | $27.54 | $66.07 | $123.03 |
BCBS Michigan Setting Professional Modifier None Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | None | $22.39 | $23.44 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $13.80 | Professional | None | $9.77 | $13.80 | $13.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $17.78 Median $42.66 Typical High $46.77 | Facility | None | $17.78 | $42.66 | $46.77 |
Health Alliance Plan Setting Professional Modifier None Typical Low $15.49 Median $17.78 Typical High $22.91 | Professional | None | $15.49 | $17.78 | $22.91 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 52 · Reduced service | $8.91 | $8.91 | $8.91 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | 53 · Discontinued | $3.55 | $3.55 | $3.55 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 54 · Surgery only | $13.18 | $13.18 | $13.18 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | 55 · Aftercare only | $2.63 | $2.63 | $2.63 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.78 | $1.78 | $1.78 |
Priority Health Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $13.80 | Professional | None | $9.77 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $8.32 Median $10.96 Typical High $13.49 | Professional | None | $8.32 | $10.96 | $13.49 |
Where Michigan sits
The same service costs 2.9 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
$20.42
RI $26.92NY $9.33
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.