How much rates vary
Facilitymedian $105 · 10th to 90th $65 to $117Professionalmedian $107 · 10th to 90th $56 to $117
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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $117.49 Typical High $117.49 | Professional | None | $67.61 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $33.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $13.49 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $17.38 Typical High $17.38 | Professional | 55 · Aftercare only | $10.23 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $6.76 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $69.18 | Facility | None | $64.57 | $64.57 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | None | $54.95 | $54.95 | $64.57 |
Moda Health Setting Facility Modifier None Typical Low $60.26 Median $104.71 Typical High $165.96 | Facility | None | $60.26 | $104.71 | $165.96 |
Moda Health Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $117.49 | Professional | None | $85.11 | $104.71 | $117.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $23.44 | $23.44 | $23.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $17.38 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $11.75 |
Premera BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $109.65 | Facility | None | $87.10 | $87.10 | $109.65 |
Premera BCBS Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $107.15 | Professional | None | $93.33 | $107.15 | $107.15 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $69.18 Typical High $158.49 | Facility | None | $60.26 | $69.18 | $158.49 |
Providence Setting Professional Modifier None Typical Low $54.95 Median $58.88 Typical High $107.15 | Professional | None | $54.95 | $58.88 | $107.15 |
United Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $107.15 | Professional | None | $45.71 | $56.23 | $107.15 |
Where Alaska sits
The same service costs 2.5 times more in Hawaii than in Rhode Island. 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· 6th of 51
$107
HI $115RI $46.77
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.