How much rates vary
Facilitymedian $100 · 10th to 90th $100 to $145Professionalmedian $214 · 10th to 90th $81 to $347
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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $100.00 | Professional | None | $79.43 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $39.81 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $15.85 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $12.02 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $7.94 | $10.00 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $141.25 | Facility | None | $100.00 | $100.00 | $141.25 |
Moda Health Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $100.00 | Professional | None | $79.43 | $100.00 | $100.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $39.81 | $48.98 | $48.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $15.85 | $19.95 | $19.95 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $12.02 | $14.79 | $14.79 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $7.94 | $10.00 | $10.00 |
Premera BCBS Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $144.54 | Facility | None | $100.00 | $100.00 | $144.54 |
Providence Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
United Setting Professional Modifier None Typical Low $77.62 Median $213.80 Typical High $309.03 | Professional | None | $77.62 | $213.80 | $309.03 |
Where Alaska sits
The same service costs 12.6 times more in California than in Kentucky. 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.
Alaska· 2nd of 51
$214
CA $245KY $19.50
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.