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 $0.83 Median $0.83 Typical High $1.05 | Facility | None | $0.83 | $0.83 | $1.05 |
Aetna Setting Professional Modifier None Typical Low $0.52 Median $0.83 Typical High $0.83 | Professional | None | $0.52 | $0.83 | $0.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.28 Median $0.42 Typical High $0.42 | Professional | 52 · Reduced service | $0.28 | $0.42 | $0.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.11 Median $0.17 Typical High $0.17 | Professional | 53 · Discontinued | $0.11 | $0.17 | $0.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.08 Median $0.13 Typical High $0.13 | Professional | 55 · Aftercare only | $0.08 | $0.13 | $0.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.06 | $0.08 | $0.08 |
Cigna Setting Professional Modifier None Typical Low $0.45 Median $0.45 Typical High $0.45 | Professional | None | $0.45 | $0.45 | $0.45 |
Moda Health Setting Facility Modifier None Typical Low $0.83 Median $0.89 Typical High $16.22 | Facility | None | $0.83 | $0.89 | $16.22 |
Moda Health Setting Professional Modifier None Typical Low $0.83 Median $0.85 Typical High $1.23 | Professional | None | $0.83 | $0.85 | $1.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.42 Median $0.42 Typical High $0.42 | Professional | 52 · Reduced service | $0.42 | $0.42 | $0.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 53 · Discontinued | $0.17 | $0.17 | $0.17 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 55 · Aftercare only | $0.13 | $0.13 | $0.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.08 |
Premera BCBS Setting Professional Modifier None Typical Low $0.78 Median $0.85 Typical High $0.85 | Professional | None | $0.78 | $0.85 | $0.85 |
Providence Setting Facility Modifier None Typical Low $0.83 Median $0.83 Typical High $1.20 | Facility | None | $0.83 | $0.83 | $1.20 |
Providence Setting Professional Modifier None Typical Low $0.45 Median $0.85 Typical High $60.26 | Professional | None | $0.45 | $0.85 | $60.26 |
United Setting Professional Modifier None Typical Low $0.42 Median $0.44 Typical High $1.10 | Professional | None | $0.42 | $0.44 | $1.10 |
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
$0.83
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.