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 $165.96 Median $165.96 Typical High $194.98 | Facility | None | $165.96 | $165.96 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $165.96 Typical High $194.98 | Professional | None | $77.62 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $83.18 Typical High $95.50 | Professional | 52 · Reduced service | $38.90 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $25.12 Typical High $28.84 | Professional | 55 · Aftercare only | $11.75 | $25.12 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $16.60 Typical High $19.50 | Professional | 56 · Pre-op care only | $7.76 | $16.60 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $309.03 | Professional | None | $87.10 | $134.90 | $309.03 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $194.98 Typical High $275.42 | Facility | None | $147.91 | $194.98 | $275.42 |
Moda Health Setting Professional Modifier None Typical Low $100.00 Median $194.98 Typical High $371.54 | Professional | None | $100.00 | $194.98 | $371.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $83.18 Typical High $95.50 | Professional | 52 · Reduced service | $41.69 | $83.18 | $95.50 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $25.12 Typical High $28.84 | Professional | 55 · Aftercare only | $12.59 | $25.12 | $28.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $16.60 Typical High $19.50 | Professional | 56 · Pre-op care only | $8.51 | $16.60 | $19.50 |
Premera BCBS Setting Facility Modifier None Typical Low $134.90 Median $204.17 Typical High $204.17 | Facility | None | $134.90 | $204.17 | $204.17 |
Premera BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $251.19 | Professional | None | $204.17 | $204.17 | $251.19 |
Providence Setting Facility Modifier None Typical Low $147.91 Median $199.53 Typical High $288.40 | Facility | None | $147.91 | $199.53 | $288.40 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $165.96 Typical High $295.12 | Professional | None | $79.43 | $165.96 | $295.12 |
United Setting Professional Modifier None Typical Low $93.33 Median $245.47 Typical High $323.59 | Professional | None | $93.33 | $245.47 | $323.59 |
Where Alaska sits
The same service costs 2.5 times more in Alaska than in Florida. 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
$204
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.