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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $104.71 Typical High $104.71 | Professional | None | $56.23 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $28.18 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $11.22 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $15.49 Typical High $15.49 | Professional | 55 · Aftercare only | $8.32 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $5.62 | $10.47 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Moda Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $147.91 | Facility | None | $104.71 | $104.71 | $147.91 |
Moda Health Setting Professional Modifier None Typical Low $60.26 Median $104.71 Typical High $162.18 | Professional | None | $60.26 | $104.71 | $162.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $29.51 | $51.29 | $51.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $11.75 | $20.89 | $20.89 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $15.49 Typical High $15.49 | Professional | 55 · Aftercare only | $8.91 | $15.49 | $15.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $5.89 | $10.47 | $10.47 |
Premera BCBS Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $154.88 | Facility | None | $109.65 | $109.65 | $154.88 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $77.62 | Professional | None | $60.26 | $60.26 | $77.62 |
United Setting Professional Modifier None Typical Low $50.12 Median $138.04 Typical High $138.04 | Professional | None | $50.12 | $138.04 | $138.04 |
Where Alaska sits
The same service costs 2.6 times more in Alaska 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· 1st of 51
$105
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.