How much rates vary
Facilitymedian $26 · 10th to 90th $12 to $54Professionalmedian $9 · 10th to 90th $6 to $12
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 $10.47 Median $10.47 Typical High $10.96 | Facility | None | $10.47 | $10.47 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.96 Typical High $10.96 | Professional | None | $10.47 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.50 Typical High $5.50 | Professional | 52 · Reduced service | $5.25 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.19 Typical High $2.19 | Professional | 53 · Discontinued | $2.09 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $7.94 Median $8.32 Typical High $8.32 | Professional | 54 · Surgery only | $7.94 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.58 Median $1.66 Typical High $1.66 | Professional | 55 · Aftercare only | $1.58 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.05 Median $1.10 Typical High $1.10 | Professional | 56 · Pre-op care only | $1.05 | $1.10 | $1.10 |
BCBS Michigan Setting Facility Modifier None Typical Low $13.80 Median $33.11 Typical High $61.66 | Facility | None | $13.80 | $33.11 | $61.66 |
BCBS Michigan Setting Professional Modifier None Typical Low $10.96 Median $11.75 Typical High $11.75 | Professional | None | $10.96 | $11.75 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $6.92 Typical High $6.92 | Professional | None | $4.90 | $6.92 | $6.92 |
Health Alliance Plan Setting Facility Modifier None Typical Low $8.91 Median $21.38 Typical High $23.44 | Facility | None | $8.91 | $21.38 | $23.44 |
Health Alliance Plan Setting Professional Modifier None Typical Low $7.94 Median $8.91 Typical High $10.96 | Professional | None | $7.94 | $8.91 | $10.96 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 52 · Reduced service | $4.47 | $4.47 | $4.47 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | 53 · Discontinued | $1.78 | $1.78 | $1.78 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 54 · Surgery only | $6.61 | $6.61 | $6.61 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | 55 · Aftercare only | $1.32 | $1.32 | $1.32 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | 56 · Pre-op care only | $0.89 | $0.89 | $0.89 |
Priority Health Setting Professional Modifier None Typical Low $4.90 Median $6.92 Typical High $6.92 | Professional | None | $4.90 | $6.92 | $6.92 |
United Setting Professional Modifier None Typical Low $4.17 Median $5.50 Typical High $6.76 | Professional | None | $4.17 | $5.50 | $6.76 |
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· 14th of 51
$10.00
RI $13.49NY $4.68
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.