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 $0.74 Median $0.74 Typical High $0.74 | Facility | None | $0.74 | $0.74 | $0.74 |
Aetna Setting Professional Modifier None Typical Low $0.47 Median $0.74 Typical High $0.74 | Professional | None | $0.47 | $0.74 | $0.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.25 Median $0.37 Typical High $0.37 | Professional | 52 · Reduced service | $0.25 | $0.37 | $0.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.10 Median $0.15 Typical High $0.15 | Professional | 53 · Discontinued | $0.10 | $0.15 | $0.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.11 Typical High $0.11 | Professional | 55 · Aftercare only | $0.07 | $0.11 | $0.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.07 Typical High $0.07 | Professional | 56 · Pre-op care only | $0.05 | $0.07 | $0.07 |
Cigna Setting Professional Modifier None Typical Low $0.40 Median $0.40 Typical High $0.40 | Professional | None | $0.40 | $0.40 | $0.40 |
Moda Health Setting Facility Modifier None Typical Low $0.74 Median $0.76 Typical High $1.07 | Facility | None | $0.74 | $0.76 | $1.07 |
Moda Health Setting Professional Modifier None Typical Low $0.74 Median $0.76 Typical High $1.07 | Professional | None | $0.74 | $0.76 | $1.07 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.37 Median $0.37 Typical High $0.37 | Professional | 52 · Reduced service | $0.37 | $0.37 | $0.37 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | 53 · Discontinued | $0.15 | $0.15 | $0.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | 55 · Aftercare only | $0.11 | $0.11 | $0.11 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 56 · Pre-op care only | $0.07 | $0.07 | $0.07 |
Premera BCBS Setting Professional Modifier None Typical Low $0.68 Median $0.76 Typical High $0.76 | Professional | None | $0.68 | $0.76 | $0.76 |
Providence Setting Facility Modifier None Typical Low $0.74 Median $0.74 Typical High $1.07 | Facility | None | $0.74 | $0.74 | $1.07 |
Providence Setting Professional Modifier None Typical Low $0.40 Median $0.76 Typical High $60.26 | Professional | None | $0.40 | $0.76 | $60.26 |
United Setting Professional Modifier None Typical Low $0.38 Median $0.39 Typical High $0.98 | Professional | None | $0.38 | $0.39 | $0.98 |
Where Alaska sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 9th of 51
$0.74
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.