How much rates vary
Facilitymedian $27 · 10th to 90th $17 to $45Professionalmedian $17 · 10th to 90th $10 to $21
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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $17.38 | Professional | None | $15.49 | $15.49 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $7.76 Typical High $8.71 | Professional | 52 · Reduced service | $7.76 | $7.76 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.47 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.29 Median $2.29 Typical High $2.57 | Professional | 55 · Aftercare only | $2.29 | $2.29 | $2.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.55 Median $1.55 Typical High $1.74 | Professional | 56 · Pre-op care only | $1.55 | $1.55 | $1.74 |
BCBS Michigan Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
BCBS Michigan Setting Professional Modifier None Typical Low $20.42 Median $21.38 Typical High $21.38 | Professional | None | $20.42 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $30.90 | Professional | None | $9.55 | $9.55 | $30.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $17.38 Median $40.74 Typical High $44.67 | Facility | None | $17.38 | $40.74 | $44.67 |
Health Alliance Plan Setting Professional Modifier None Typical Low $12.88 Median $17.38 Typical High $17.38 | Professional | None | $12.88 | $17.38 | $17.38 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $8.32 | $8.71 | $8.71 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $3.39 | $3.47 | $3.47 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $2.57 Typical High $2.57 | Professional | 55 · Aftercare only | $2.51 | $2.57 | $2.57 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.66 Median $1.74 Typical High $1.74 | Professional | 56 · Pre-op care only | $1.66 | $1.74 | $1.74 |
Priority Health Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $24.55 | Professional | None | $9.55 | $9.55 | $24.55 |
United Setting Facility Modifier None Typical Low $22.91 Median $26.92 Typical High $32.36 | Facility | None | $22.91 | $26.92 | $32.36 |
United Setting Professional Modifier None Typical Low $8.13 Median $10.00 Typical High $14.13 | Professional | None | $8.13 | $10.00 | $14.13 |
Where Michigan sits
The same service costs 3.0 times more in Montana 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· 16th of 51
$17.38
MT $25.12NY $8.51
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.