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 $154.88 Median $154.88 Typical High $281.84 | Facility | None | $154.88 | $154.88 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $154.88 Typical High $281.84 | Professional | None | $66.07 | $154.88 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $77.62 Typical High $141.25 | Professional | 52 · Reduced service | $34.67 | $77.62 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $30.90 Typical High $56.23 | Professional | 53 · Discontinued | $14.13 | $30.90 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $22.91 Typical High $42.66 | Professional | 55 · Aftercare only | $10.47 | $22.91 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $15.49 Typical High $28.18 | Professional | 56 · Pre-op care only | $7.08 | $15.49 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $79.43 Typical High $181.97 | Professional | None | $43.65 | $79.43 | $181.97 |
Moda Health Setting Facility Modifier None Typical Low $154.88 Median $218.78 Typical High $407.38 | Facility | None | $154.88 | $218.78 | $407.38 |
Moda Health Setting Professional Modifier None Typical Low $70.79 Median $154.88 Typical High $281.84 | Professional | None | $70.79 | $154.88 | $281.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $77.62 Typical High $141.25 | Professional | 52 · Reduced service | $47.86 | $77.62 | $141.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $30.90 Typical High $56.23 | Professional | 53 · Discontinued | $19.05 | $30.90 | $56.23 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $22.91 Typical High $42.66 | Professional | 55 · Aftercare only | $14.13 | $22.91 | $42.66 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $15.49 Typical High $28.18 | Professional | 56 · Pre-op care only | $9.55 | $15.49 | $28.18 |
Premera BCBS Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | None | $10,000.00 | $10,000.00 | $10,000.00 |
Providence Setting Facility Modifier None Typical Low $138.04 Median $194.98 Typical High $398.11 | Facility | None | $138.04 | $194.98 | $398.11 |
Providence Setting Professional Modifier None Typical Low $43.65 Median $74.13 Typical High $181.97 | Professional | None | $43.65 | $74.13 | $181.97 |
United Setting Professional Modifier None Typical Low $30.20 Median $154.88 Typical High $269.15 | Professional | None | $30.20 | $154.88 | $269.15 |
Where Alaska sits
The same service costs 2.8 times more in Alaska than in Maryland. 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
$155
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.