How much rates vary
Facilitymedian $102 · 10th to 90th $72 to $186Professionalmedian $72 · 10th to 90th $41 to $91
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $72.44 Median $77.62 Typical High $77.62 | Facility | None | $72.44 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | None | $64.57 | $64.57 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | 52 · Reduced service | $32.36 | $32.36 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $15.49 | Professional | 53 · Discontinued | $12.88 | $12.88 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $9.77 Typical High $11.48 | Professional | 55 · Aftercare only | $9.77 | $9.77 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $7.76 | Professional | 56 · Pre-op care only | $6.46 | $6.46 | $7.76 |
BCBS Michigan Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
BCBS Michigan Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | None | $85.11 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $131.83 | Professional | None | $37.15 | $37.15 | $131.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $72.44 Median $173.78 Typical High $186.21 | Facility | None | $72.44 | $173.78 | $186.21 |
Health Alliance Plan Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $74.13 | Professional | None | $53.70 | $72.44 | $74.13 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $34.67 | $36.31 | $36.31 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $13.80 | $14.45 | $14.45 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.96 Typical High $10.96 | Professional | 55 · Aftercare only | $10.23 | $10.96 | $10.96 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.24 Typical High $7.24 | Professional | 56 · Pre-op care only | $6.92 | $7.24 | $7.24 |
Priority Health Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $104.71 | Professional | None | $37.15 | $37.15 | $104.71 |
United Setting Facility Modifier None Typical Low $87.10 Median $102.33 Typical High $123.03 | Facility | None | $87.10 | $102.33 | $123.03 |
United Setting Professional Modifier None Typical Low $31.62 Median $40.74 Typical High $53.70 | Professional | None | $31.62 | $40.74 | $53.70 |
Where Michigan sits
The same service costs 3.6 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· 15th of 51
$72.44
HI $117NY $32.36
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.