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 $0.93 Median $0.93 Typical High $0.93 | Facility | None | $0.93 | $0.93 | $0.93 |
Aetna Setting Professional Modifier None Typical Low $0.27 Median $0.93 Typical High $0.93 | Professional | None | $0.27 | $0.93 | $0.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.19 Median $0.47 Typical High $0.47 | Professional | 52 · Reduced service | $0.19 | $0.47 | $0.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.19 Typical High $0.19 | Professional | 53 · Discontinued | $0.07 | $0.19 | $0.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.14 Typical High $0.14 | Professional | 55 · Aftercare only | $0.06 | $0.14 | $0.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.09 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.04 | $0.09 | $0.09 |
Cigna Setting Professional Modifier None Typical Low $0.31 Median $0.31 Typical High $0.31 | Professional | None | $0.31 | $0.31 | $0.31 |
Moda Health Setting Facility Modifier None Typical Low $0.93 Median $1.32 Typical High $21.38 | Facility | None | $0.93 | $1.32 | $21.38 |
Moda Health Setting Professional Modifier None Typical Low $0.51 Median $0.93 Typical High $1.15 | Professional | None | $0.51 | $0.93 | $1.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.47 Median $0.47 Typical High $0.47 | Professional | 52 · Reduced service | $0.47 | $0.47 | $0.47 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.19 Median $0.19 Typical High $0.19 | Professional | 53 · Discontinued | $0.19 | $0.19 | $0.19 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | 55 · Aftercare only | $0.14 | $0.14 | $0.14 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.09 | $0.09 | $0.09 |
Premera BCBS Setting Professional Modifier None Typical Low $0.81 Median $0.95 Typical High $0.95 | Professional | None | $0.81 | $0.95 | $0.95 |
Providence Setting Facility Modifier None Typical Low $0.91 Median $0.91 Typical High $1.32 | Facility | None | $0.91 | $0.91 | $1.32 |
Providence Setting Professional Modifier None Typical Low $0.31 Median $1.45 Typical High $60.26 | Professional | None | $0.31 | $1.45 | $60.26 |
United Setting Professional Modifier None Typical Low $0.38 Median $0.49 Typical High $1.23 | Professional | None | $0.38 | $0.49 | $1.23 |
Where Alaska sits
The same service costs 4.6 times more in Hawaii than in Rhode Island. 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
$0.93
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.