How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,000 to $251,189Professionalmedian $1,660 · 10th to 90th $617 to $2,630
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 $1,659.59 Median $12,022.64 Typical High $16,595.87 | Facility | None | $1,659.59 | $12,022.64 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $6,025.60 | Professional | None | $1,659.59 | $1,659.59 | $6,025.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $831.76 Median $831.76 Typical High $3,019.95 | Professional | 52 · Reduced service | $831.76 | $831.76 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $1,230.27 | Professional | 53 · Discontinued | $331.13 | $331.13 | $1,230.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $4,570.88 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $4,570.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $912.01 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $912.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $602.56 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,344.23 | Facility | None | $1,659.59 | $1,659.59 | $2,344.23 |
Moda Health Setting Professional Modifier None Typical Low $60.26 Median $1,659.59 Typical High $1,659.59 | Professional | None | $60.26 | $1,659.59 | $1,659.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $831.76 | $831.76 | $831.76 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $331.13 | $331.13 | $331.13 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,230.27 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $245.47 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $165.96 |
Providence Setting Facility Modifier None Typical Low $6,025.60 Median $251,188.64 Typical High $346,736.85 | Facility | None | $6,025.60 | $251,188.64 | $346,736.85 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $4,265.80 | Facility | None | $691.83 | $1,071.52 | $4,265.80 |
Where Alaska sits
The same service costs 204.2 times more in Wisconsin than in Hawaii. 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· 23rd of 51
$1,660
WI $6,026HI $29.51
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.