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 $0.52 Median $0.52 Typical High $0.65 | Facility | None | $0.52 | $0.52 | $0.65 |
Aetna Setting Professional Modifier None Typical Low $0.34 Median $0.52 Typical High $0.52 | Professional | None | $0.34 | $0.52 | $0.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.17 Median $0.26 Typical High $0.26 | Professional | 52 · Reduced service | $0.17 | $0.26 | $0.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.10 Typical High $0.10 | Professional | 53 · Discontinued | $0.07 | $0.10 | $0.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.08 Typical High $0.08 | Professional | 55 · Aftercare only | $0.05 | $0.08 | $0.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.03 | $0.05 | $0.05 |
Cigna Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | None | $0.28 | $0.28 | $0.28 |
Moda Health Setting Facility Modifier None Typical Low $0.52 Median $0.52 Typical High $0.74 | Facility | None | $0.52 | $0.52 | $0.74 |
Moda Health Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $0.79 | Professional | None | $0.52 | $0.52 | $0.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | 52 · Reduced service | $0.26 | $0.26 | $0.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | 53 · Discontinued | $0.10 | $0.10 | $0.10 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 55 · Aftercare only | $0.08 | $0.08 | $0.08 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.05 |
Premera BCBS Setting Professional Modifier None Typical Low $0.48 Median $0.52 Typical High $0.52 | Professional | None | $0.48 | $0.52 | $0.52 |
Providence Setting Facility Modifier None Typical Low $0.51 Median $0.51 Typical High $0.72 | Facility | None | $0.51 | $0.51 | $0.72 |
Providence Setting Professional Modifier None Typical Low $0.28 Median $0.52 Typical High $60.26 | Professional | None | $0.28 | $0.52 | $60.26 |
United Setting Professional Modifier None Typical Low $0.27 Median $0.28 Typical High $0.69 | Professional | None | $0.27 | $0.28 | $0.69 |
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· 7th of 51
$0.52
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.