How much rates vary
Facilitymedian $65 · 10th to 90th $23 to $174Professionalmedian $26 · 10th to 90th $23 to $28
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 Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $28.18 | Professional | None | $22.91 | $22.91 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $11.48 Typical High $14.13 | Professional | 52 · Reduced service | $11.48 | $11.48 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $5.75 | Professional | 53 · Discontinued | $4.68 | $4.68 | $5.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $3.47 Typical High $4.27 | Professional | 55 · Aftercare only | $3.47 | $3.47 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.29 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.29 | $2.29 | $2.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $48.98 Median $87.10 Typical High $245.47 | Facility | None | $48.98 | $87.10 | $245.47 |
BCBS Idaho Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $20.89 Typical High $40.74 | Professional | None | $15.85 | $20.89 | $40.74 |
Moda Health Setting Facility Modifier None Typical Low $22.39 Median $22.91 Typical High $28.18 | Facility | None | $22.39 | $22.91 | $28.18 |
Moda Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | None | $22.91 | $22.91 | $26.92 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $11.48 Typical High $14.13 | Professional | 52 · Reduced service | $11.48 | $11.48 | $14.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $5.75 | Professional | 53 · Discontinued | $4.68 | $4.68 | $5.75 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $3.47 Typical High $4.27 | Professional | 55 · Aftercare only | $3.47 | $3.47 | $4.27 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.29 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.29 | $2.29 | $2.82 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $50.12 | Facility | None | $8.32 | $8.32 | $50.12 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $114.82 | Professional | None | $50.12 | $50.12 | $114.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $51.29 Median $74.13 Typical High $102.33 | Facility | None | $51.29 | $74.13 | $102.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Select Health Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $67.61 | Facility | None | $60.26 | $60.26 | $67.61 |
Select Health Setting Professional Modifier None Typical Low $6.92 Median $37.15 Typical High $47.86 | Professional | None | $6.92 | $37.15 | $47.86 |
United Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Where Idaho sits
The same service costs 11.7 times more in New York than in North Carolina. 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.
Idaho· 10th of 51
$28.18
NY $64.57NC $5.50
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.