How much rates vary
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 $2,398.83 Median $12,022.64 Typical High $16,595.87 | Facility | None | $2,398.83 | $12,022.64 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $2,398.83 Typical High $2,398.83 | Professional | None | $457.09 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $338.84 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $69.18 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $45.71 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $316.23 | $1,698.24 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $724.44 Typical High $1,479.11 | Professional | None | $457.09 | $724.44 | $1,479.11 |
Moda Health Setting Facility Modifier None Typical Low $691.83 Median $2,398.83 Typical High $3,467.37 | Facility | None | $691.83 | $2,398.83 | $3,467.37 |
Moda Health Setting Professional Modifier None Typical Low $426.58 Median $2,398.83 Typical High $2,398.83 | Professional | None | $426.58 | $2,398.83 | $2,398.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $363.08 | $1,819.70 | $1,819.70 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $72.44 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $48.98 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $338.84 | $1,698.24 | $1,698.24 |
Premera BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Providence Setting Facility Modifier None Typical Low $2,511.89 Median $251,188.64 Typical High $346,736.85 | Facility | None | $2,511.89 | $251,188.64 | $346,736.85 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $602.56 Typical High $1,479.11 | Professional | None | $60.26 | $602.56 | $1,479.11 |
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 |
United Setting Professional Modifier None Typical Low $416.87 Median $977.24 Typical High $2,238.72 | Professional | None | $416.87 | $977.24 | $2,238.72 |
Where Alaska 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.
Alaska· 2nd of 51
$1,995
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.