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 $251.19 Median $4,677.35 Typical High $14,125.38 | Facility | None | $251.19 | $4,677.35 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $208.93 Typical High $389.05 | Professional | None | $57.54 | $208.93 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $104.71 Typical High $194.98 | Professional | 52 · Reduced service | $29.51 | $104.71 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $41.69 Typical High $77.62 | Professional | 53 · Discontinued | $11.75 | $41.69 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $154.88 Typical High $288.40 | Professional | 54 · Surgery only | $43.65 | $154.88 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $30.90 Typical High $57.54 | Professional | 55 · Aftercare only | $8.71 | $30.90 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $20.89 Typical High $38.90 | Professional | 56 · Pre-op care only | $5.89 | $20.89 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $104.71 Typical High $257.04 | Professional | None | $57.54 | $104.71 | $257.04 |
Moda Health Setting Facility Modifier None Typical Low $208.93 Median $549.54 Typical High $1,995.26 | Facility | None | $208.93 | $549.54 | $1,995.26 |
Moda Health Setting Professional Modifier None Typical Low $83.18 Median $208.93 Typical High $389.05 | Professional | None | $83.18 | $208.93 | $389.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $104.71 Typical High $194.98 | Professional | 52 · Reduced service | $41.69 | $104.71 | $194.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $41.69 Typical High $77.62 | Professional | 53 · Discontinued | $16.60 | $41.69 | $77.62 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $154.88 Typical High $288.40 | Professional | 54 · Surgery only | $63.10 | $154.88 | $288.40 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $30.90 Typical High $57.54 | Professional | 55 · Aftercare only | $12.59 | $30.90 | $57.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $20.89 Typical High $38.90 | Professional | 56 · Pre-op care only | $8.32 | $20.89 | $38.90 |
Premera BCBS Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $363.08 | Professional | None | $173.78 | $173.78 | $363.08 |
Providence Setting Facility Modifier None Typical Low $204.17 Median $436.52 Typical High $10,964.78 | Facility | None | $204.17 | $436.52 | $10,964.78 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $109.65 Typical High $234.42 | Professional | None | $60.26 | $109.65 | $234.42 |
United Setting Professional Modifier None Typical Low $50.12 Median $123.03 Typical High $223.87 | Professional | None | $50.12 | $123.03 | $223.87 |
Where Alaska sits
The same service costs 2.5 times more in North Carolina than in Florida. 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
$174
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.