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 $0.37 Median $0.37 Typical High $0.37 | Facility | None | $0.37 | $0.37 | $0.37 |
Aetna Setting Professional Modifier None Typical Low $0.21 Median $0.37 Typical High $0.37 | Professional | None | $0.21 | $0.37 | $0.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.06 Typical High $0.06 | Professional | 55 · Aftercare only | $0.03 | $0.06 | $0.06 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.02 | $0.04 | $0.04 |
Cigna Setting Professional Modifier None Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | None | $0.26 | $0.26 | $0.26 |
Moda Health Setting Facility Modifier None Typical Low $0.37 Median $0.51 Typical High $0.54 | Facility | None | $0.37 | $0.51 | $0.54 |
Moda Health Setting Professional Modifier None Typical Low $0.37 Median $0.37 Typical High $0.78 | Professional | None | $0.37 | $0.37 | $0.78 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 55 · Aftercare only | $0.06 | $0.06 | $0.06 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.04 |
Moda Health Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.48 Median $0.51 Typical High $0.54 | Professional | AU · Urologic/ostomy supply | $0.48 | $0.51 | $0.54 |
Moda Health Setting Professional Modifier AW · With surgical dressing Typical Low $0.48 Median $0.51 Typical High $0.72 | Professional | AW · With surgical dressing | $0.48 | $0.51 | $0.72 |
Premera BCBS Setting Professional Modifier None Typical Low $0.47 Median $0.48 Typical High $0.48 | Professional | None | $0.47 | $0.48 | $0.48 |
Premera BCBS Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.44 Median $0.48 Typical High $0.48 | Professional | AU · Urologic/ostomy supply | $0.44 | $0.48 | $0.48 |
Premera BCBS Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.44 Median $0.48 Typical High $0.48 | Professional | AV · With prosthetic/orthotic | $0.44 | $0.48 | $0.48 |
Premera BCBS Setting Professional Modifier AW · With surgical dressing Typical Low $0.47 Median $0.52 Typical High $0.52 | Professional | AW · With surgical dressing | $0.47 | $0.52 | $0.52 |
Providence Setting Facility Modifier None Typical Low $0.33 Median $0.33 Typical High $0.47 | Facility | None | $0.33 | $0.33 | $0.47 |
Providence Setting Professional Modifier None Typical Low $0.26 Median $0.48 Typical High $60.26 | Professional | None | $0.26 | $0.48 | $60.26 |
United Setting Professional Modifier None Typical Low $0.26 Median $0.27 Typical High $0.68 | Professional | None | $0.26 | $0.27 | $0.68 |
Where Alaska sits
The same service costs 2.5 times more in Montana than in Colorado. 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· 11th of 51
$0.37
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.