How much rates vary
Facilitymedian $27 · 10th to 90th $16 to $42Professionalmedian $16 · 10th to 90th $9 to $20
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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.79 Typical High $16.22 | Professional | None | $14.45 | $14.79 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.24 Typical High $8.13 | Professional | 52 · Reduced service | $7.24 | $7.24 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $3.24 | Professional | 53 · Discontinued | $2.88 | $2.88 | $3.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $2.19 Typical High $2.45 | Professional | 55 · Aftercare only | $2.19 | $2.19 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.45 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.45 | $1.45 | $1.62 |
BCBS Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
BCBS Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $19.95 | Professional | None | $19.05 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $28.84 | Professional | None | $9.77 | $9.77 | $28.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $16.22 Median $38.90 Typical High $41.69 | Facility | None | $16.22 | $38.90 | $41.69 |
Health Alliance Plan Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $16.60 | Professional | None | $12.02 | $16.22 | $16.60 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 52 · Reduced service | $8.13 | $8.13 | $8.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.24 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | 55 · Aftercare only | $2.45 | $2.45 | $2.45 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.62 | $1.62 | $1.62 |
Priority Health Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $23.44 | Professional | None | $9.77 | $9.77 | $23.44 |
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 $6.03 Median $8.32 Typical High $12.02 | Professional | None | $6.03 | $8.32 | $12.02 |
Where Michigan sits
The same service costs 3.2 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· 23rd of 51
$16.22
MT $26.92NY $8.32
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.