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 $186.21 Median $186.21 Typical High $234.42 | Facility | None | $186.21 | $186.21 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $186.21 Typical High $186.21 | Professional | None | $100.00 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $58.88 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $23.44 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $17.78 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $11.75 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $109.65 Typical High $281.84 | Professional | None | $30.90 | $109.65 | $281.84 |
Moda Health Setting Facility Modifier None Typical Low $186.21 Median $269.15 Typical High $645.65 | Facility | None | $186.21 | $269.15 | $645.65 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $234.42 | Professional | None | $154.88 | $186.21 | $234.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $28.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $18.62 |
Premera BCBS Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Premera BCBS Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $234.42 | Facility | None | $162.18 | $162.18 | $234.42 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $109.65 Typical High $173.78 | Professional | None | $60.26 | $109.65 | $173.78 |
United Setting Professional Modifier None Typical Low $74.13 Median $234.42 Typical High $234.42 | Professional | None | $74.13 | $234.42 | $234.42 |
Where Alaska sits
The same service costs 2.9 times more in Alaska than in Utah. 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
$186
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.