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 $218.78 Median $275.42 Typical High $426.58 | Facility | None | $218.78 | $275.42 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $218.78 Typical High $338.84 | Professional | None | $93.33 | $218.78 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $109.65 Typical High $169.82 | Professional | 52 · Reduced service | $50.12 | $109.65 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $33.11 Typical High $51.29 | Professional | 55 · Aftercare only | $15.14 | $33.11 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $21.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $10.00 | $21.88 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $109.65 Typical High $263.03 | Professional | None | $63.10 | $109.65 | $263.03 |
Moda Health Setting Facility Modifier None Typical Low $138.04 Median $316.23 Typical High $776.25 | Facility | None | $138.04 | $316.23 | $776.25 |
Moda Health Setting Professional Modifier None Typical Low $102.33 Median $218.78 Typical High $338.84 | Professional | None | $102.33 | $218.78 | $338.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $109.65 Typical High $169.82 | Professional | 52 · Reduced service | $57.54 | $109.65 | $169.82 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $33.11 Typical High $51.29 | Professional | 55 · Aftercare only | $16.98 | $33.11 | $51.29 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $21.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $11.48 | $21.88 | $33.88 |
Premera BCBS Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $512.86 | Professional | None | $302.00 | $302.00 | $512.86 |
Providence Setting Facility Modifier None Typical Low $199.53 Median $281.84 Typical High $512.86 | Facility | None | $199.53 | $281.84 | $512.86 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $95.50 Typical High $263.03 | Professional | None | $60.26 | $95.50 | $263.03 |
United Setting Professional Modifier None Typical Low $74.13 Median $218.78 Typical High $323.59 | Professional | None | $74.13 | $218.78 | $323.59 |
Where Alaska sits
The same service costs 4.3 times more in Alaska 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· 1st of 51
$263
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.