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 $2.04 Median $2.04 Typical High $2.04 | Facility | None | $2.04 | $2.04 | $2.04 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | None | $2.04 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | 52 · Reduced service | $1.02 | $1.02 | $1.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.41 Typical High $0.41 | Professional | 53 · Discontinued | $0.41 | $0.41 | $0.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.31 Typical High $0.31 | Professional | 55 · Aftercare only | $0.31 | $0.31 | $0.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 56 · Pre-op care only | $0.20 | $0.20 | $0.20 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Moda Health Setting Facility Modifier None Typical Low $2.04 Median $2.09 Typical High $2.95 | Facility | None | $2.04 | $2.09 | $2.95 |
Moda Health Setting Professional Modifier None Typical Low $2.04 Median $2.09 Typical High $4.07 | Professional | None | $2.04 | $2.09 | $4.07 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | 52 · Reduced service | $1.02 | $1.02 | $1.02 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.41 Typical High $0.41 | Professional | 53 · Discontinued | $0.41 | $0.41 | $0.41 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.31 Typical High $0.31 | Professional | 55 · Aftercare only | $0.31 | $0.31 | $0.31 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 56 · Pre-op care only | $0.20 | $0.20 | $0.20 |
Moda Health Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $2.09 Median $2.09 Typical High $4.27 | Professional | AU · Urologic/ostomy supply | $2.09 | $2.09 | $4.27 |
Premera BCBS Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | None | $2.09 | $2.09 | $2.09 |
Premera BCBS Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | AU · Urologic/ostomy supply | $2.09 | $2.09 | $2.09 |
Providence Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $2.88 | Facility | None | $2.04 | $2.04 | $2.88 |
Providence Setting Professional Modifier None Typical Low $2.14 Median $2.24 Typical High $60.26 | Professional | None | $2.14 | $2.24 | $60.26 |
United Setting Professional Modifier None Typical Low $1.07 Median $1.07 Typical High $3.39 | Professional | None | $1.07 | $1.07 | $3.39 |
Where Alaska sits
The same service costs 4.4 times more in Minnesota than in New Hampshire. 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· 40th of 51
$2.09
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.