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 $35.48 Median $35.48 Typical High $37.15 | Facility | None | $35.48 | $35.48 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $35.48 Typical High $37.15 | Professional | None | $26.30 | $35.48 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $17.78 Typical High $18.62 | Professional | 52 · Reduced service | $12.88 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $7.08 Typical High $7.41 | Professional | 53 · Discontinued | $5.25 | $7.08 | $7.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $5.37 Typical High $5.62 | Professional | 55 · Aftercare only | $3.89 | $5.37 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $3.55 Typical High $3.72 | Professional | 56 · Pre-op care only | $2.63 | $3.55 | $3.72 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $31.62 Typical High $87.10 | Professional | None | $21.88 | $31.62 | $87.10 |
Moda Health Setting Facility Modifier None Typical Low $35.48 Median $37.15 Typical High $53.70 | Facility | None | $35.48 | $37.15 | $53.70 |
Moda Health Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $40.74 | Professional | None | $35.48 | $37.15 | $40.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $18.62 | Professional | 52 · Reduced service | $17.78 | $17.78 | $18.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.41 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.41 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $5.62 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $5.62 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.55 Typical High $3.72 | Professional | 56 · Pre-op care only | $3.55 | $3.55 | $3.72 |
Premera BCBS Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $48.98 | Professional | None | $45.71 | $45.71 | $48.98 |
Providence Setting Facility Modifier None Typical Low $28.18 Median $33.88 Typical High $48.98 | Facility | None | $28.18 | $33.88 | $48.98 |
Providence Setting Professional Modifier None Typical Low $25.70 Median $45.71 Typical High $77.62 | Professional | None | $25.70 | $45.71 | $77.62 |
United Setting Professional Modifier None Typical Low $28.84 Median $69.18 Typical High $138.04 | Professional | None | $28.84 | $69.18 | $138.04 |
Where Alaska sits
The same service costs 2.8 times more in New York than in Georgia. 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· 8th of 51
$37.15
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.