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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $17.78 | Professional | None | $14.79 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $8.91 Typical High $8.91 | Professional | 52 · Reduced service | $7.41 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $2.63 Typical High $2.63 | Professional | 55 · Aftercare only | $2.24 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.48 Median $1.78 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.48 | $1.78 | $1.78 |
Moda Health Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $25.12 | Facility | None | $17.78 | $17.78 | $25.12 |
Moda Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 52 · Reduced service | $8.91 | $8.91 | $8.91 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | 55 · Aftercare only | $2.63 | $2.63 | $2.63 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.78 | $1.78 | $1.78 |
Premera BCBS Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $114.82 | Professional | None | $109.65 | $109.65 | $114.82 |
Providence Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $38.90 | Facility | None | $27.54 | $27.54 | $38.90 |
Providence Setting Professional Modifier None Typical Low $13.80 Median $60.26 Typical High $79.43 | Professional | None | $13.80 | $60.26 | $79.43 |
Where Alaska sits
The same service costs 14.5 times more in Texas than in West Virginia. 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· 34th of 51
$17.78
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.