How much rates vary
Facilitymedian $16 · 10th to 90th $7 to $33Professionalmedian $6 · 10th to 90th $3 to $7
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 $6.46 Median $6.46 Typical High $6.76 | Facility | None | $6.46 | $6.46 | $6.76 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.76 Typical High $6.76 | Professional | None | $6.46 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.24 Median $3.39 Typical High $3.39 | Professional | 52 · Reduced service | $3.24 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.35 Typical High $1.35 | Professional | 53 · Discontinued | $1.29 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4.90 Median $5.13 Typical High $5.13 | Professional | 54 · Surgery only | $4.90 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.98 Median $1.02 Typical High $1.02 | Professional | 55 · Aftercare only | $0.98 | $1.02 | $1.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.65 Median $0.68 Typical High $0.68 | Professional | 56 · Pre-op care only | $0.65 | $0.68 | $0.68 |
BCBS Michigan Setting Facility Modifier None Typical Low $8.71 Median $20.42 Typical High $38.02 | Facility | None | $8.71 | $20.42 | $38.02 |
BCBS Michigan Setting Professional Modifier None Typical Low $6.92 Median $7.24 Typical High $7.24 | Professional | None | $6.92 | $7.24 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $4.27 Typical High $4.27 | Professional | None | $3.02 | $4.27 | $4.27 |
Health Alliance Plan Setting Facility Modifier None Typical Low $5.50 Median $13.18 Typical High $14.45 | Facility | None | $5.50 | $13.18 | $14.45 |
Health Alliance Plan Setting Professional Modifier None Typical Low $4.90 Median $5.50 Typical High $6.61 | Professional | None | $4.90 | $5.50 | $6.61 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | 52 · Reduced service | $2.75 | $2.75 | $2.75 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | 53 · Discontinued | $1.10 | $1.10 | $1.10 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | 54 · Surgery only | $4.17 | $4.17 | $4.17 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | 55 · Aftercare only | $0.83 | $0.83 | $0.83 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.55 Median $0.55 Typical High $0.55 | Professional | 56 · Pre-op care only | $0.55 | $0.55 | $0.55 |
Priority Health Setting Professional Modifier None Typical Low $3.02 Median $4.27 Typical High $4.27 | Professional | None | $3.02 | $4.27 | $4.27 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.39 Typical High $4.17 | Professional | None | $2.51 | $3.39 | $4.17 |
Where Michigan sits
The same service costs 2.7 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
$6.17
HI $7.94NY $2.95
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.