How much rates vary
Facilitymedian $1,318 · 10th to 90th $204 to $14,125Professionalmedian $363 · 10th to 90th $105 to $2,754
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 $204.17 Median $9,772.37 Typical High $16,595.87 | Facility | None | $204.17 | $9,772.37 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $204.17 Typical High $1,318.26 | Professional | None | $85.11 | $204.17 | $1,318.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $102.33 Typical High $660.69 | Professional | 52 · Reduced service | $42.66 | $102.33 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $40.74 Typical High $269.15 | Professional | 53 · Discontinued | $16.98 | $40.74 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $151.36 Typical High $1,000.00 | Professional | 54 · Surgery only | $63.10 | $151.36 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $30.20 Typical High $199.53 | Professional | 55 · Aftercare only | $12.59 | $30.20 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $20.42 Typical High $131.83 | Professional | 56 · Pre-op care only | $8.51 | $20.42 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $323.59 Typical High $1,479.11 | Professional | None | $162.18 | $323.59 | $1,479.11 |
Moda Health Setting Facility Modifier None Typical Low $204.17 Median $288.40 Typical High $1,905.46 | Facility | None | $204.17 | $288.40 | $1,905.46 |
Moda Health Setting Professional Modifier None Typical Low $93.33 Median $363.08 Typical High $1,949.84 | Professional | None | $93.33 | $363.08 | $1,949.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $102.33 Typical High $660.69 | Professional | 52 · Reduced service | $42.66 | $102.33 | $660.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $40.74 Typical High $269.15 | Professional | 53 · Discontinued | $16.98 | $40.74 | $269.15 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $151.36 Typical High $1,000.00 | Professional | 54 · Surgery only | $63.10 | $151.36 | $1,000.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $30.20 Typical High $199.53 | Professional | 55 · Aftercare only | $12.59 | $30.20 | $199.53 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $20.42 Typical High $131.83 | Professional | 56 · Pre-op care only | $8.51 | $20.42 | $131.83 |
Premera BCBS Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $2,754.23 | Professional | None | $363.08 | $363.08 | $2,754.23 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $218.78 Typical High $1,659.59 | Facility | None | $154.88 | $218.78 | $1,659.59 |
Providence Setting Professional Modifier None Typical Low $117.49 Median $363.08 Typical High $1,949.84 | Professional | None | $117.49 | $363.08 | $1,949.84 |
United Setting Professional Modifier None Typical Low $95.50 Median $436.52 Typical High $1,737.80 | Professional | None | $95.50 | $436.52 | $1,737.80 |
Where Alaska sits
The same service costs 9.5 times more in Washington than in Washington, DC. 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· 17th of 51
$363
WA $933DC $97.72
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.