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 $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $35.48 Typical High $35.48 | Professional | None | $23.44 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $11.75 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $4.68 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $5.37 Typical High $5.37 | Professional | 55 · Aftercare only | $3.47 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $3.55 Typical High $3.55 | Professional | 56 · Pre-op care only | $2.29 | $3.55 | $3.55 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $38.02 Typical High $64.57 | Professional | None | $22.91 | $38.02 | $64.57 |
Moda Health Setting Facility Modifier None Typical Low $35.48 Median $51.29 Typical High $524.81 | Facility | None | $35.48 | $51.29 | $524.81 |
Moda Health Setting Professional Modifier None Typical Low $35.48 Median $38.90 Typical High $83.18 | Professional | None | $35.48 | $38.90 | $83.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $17.78 | $17.78 | $17.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $5.37 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | 56 · Pre-op care only | $3.55 | $3.55 | $3.55 |
Premera BCBS Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Providence Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $57.54 | Facility | None | $40.74 | $40.74 | $57.54 |
Providence Setting Professional Modifier None Typical Low $22.91 Median $42.66 Typical High $64.57 | Professional | None | $22.91 | $42.66 | $64.57 |
United Setting Professional Modifier None Typical Low $25.12 Median $66.07 Typical High $97.72 | Professional | None | $25.12 | $66.07 | $97.72 |
Where Alaska sits
The same service costs 2.5 times more in Iowa than in Pennsylvania. 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
$52.48
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.