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 $151.36 Median $186.21 Typical High $263.03 | Facility | None | $151.36 | $186.21 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $151.36 Typical High $208.93 | Professional | None | $74.13 | $151.36 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $74.13 Typical High $104.71 | Professional | 52 · Reduced service | $37.15 | $74.13 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $22.39 Typical High $31.62 | Professional | 55 · Aftercare only | $11.22 | $22.39 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $15.14 Typical High $20.89 | Professional | 56 · Pre-op care only | $7.59 | $15.14 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $117.49 Typical High $295.12 | Professional | None | $69.18 | $117.49 | $295.12 |
Moda Health Setting Facility Modifier None Typical Low $128.82 Median $208.93 Typical High $295.12 | Facility | None | $128.82 | $208.93 | $295.12 |
Moda Health Setting Professional Modifier None Typical Low $102.33 Median $204.17 Typical High $331.13 | Professional | None | $102.33 | $204.17 | $331.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $74.13 Typical High $104.71 | Professional | 52 · Reduced service | $47.86 | $74.13 | $104.71 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $22.39 Typical High $31.62 | Professional | 55 · Aftercare only | $14.13 | $22.39 | $31.62 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $15.14 Typical High $20.89 | Professional | 56 · Pre-op care only | $9.55 | $15.14 | $20.89 |
Premera BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $309.03 | Professional | None | $204.17 | $204.17 | $309.03 |
Providence Setting Facility Modifier None Typical Low $131.83 Median $186.21 Typical High $302.00 | Facility | None | $131.83 | $186.21 | $302.00 |
Providence Setting Professional Modifier None Typical Low $72.44 Median $162.18 Typical High $288.40 | Professional | None | $72.44 | $162.18 | $288.40 |
United Setting Professional Modifier None Typical Low $87.10 Median $213.80 Typical High $288.40 | Professional | None | $87.10 | $213.80 | $288.40 |
Where Alaska sits
The same service costs 2.9 times more in Alaska 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· 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.