How much rates vary
Facilitymedian $135 · 10th to 90th $102 to $288Professionalmedian $115 · 10th to 90th $100 to $135
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 $100.00 Median $102.33 Typical High $102.33 | Facility | None | $100.00 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | None | $100.00 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $51.29 | Professional | 52 · Reduced service | $50.12 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $10.23 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $10.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
BCBS Michigan Setting Professional Modifier None Typical Low $120.23 Median $125.89 Typical High $125.89 | Professional | None | $120.23 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $213.80 Typical High $213.80 | Professional | None | $125.89 | $213.80 | $213.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $288.40 | Facility | None | $134.90 | $208.93 | $288.40 |
Health Alliance Plan Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $131.83 | Professional | None | $97.72 | $100.00 | $131.83 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $50.12 | $50.12 | $50.12 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $20.42 | $20.42 | $20.42 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $15.14 | $15.14 | $15.14 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $10.00 |
Priority Health Setting Professional Modifier None Typical Low $125.89 Median $213.80 Typical High $213.80 | Professional | None | $125.89 | $213.80 | $213.80 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $134.90 | Professional | None | $125.89 | $125.89 | $134.90 |
Where Michigan sits
The same service costs 2.5 times more in Wyoming than in New Jersey. 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· 39th of 51
$115
WY $240NJ $97.72
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.