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 $37.15 Median $37.15 Typical High $39.81 | Facility | None | $37.15 | $37.15 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $37.15 Typical High $39.81 | Professional | None | $19.50 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $18.62 Typical High $19.95 | Professional | 52 · Reduced service | $9.77 | $18.62 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $7.41 Typical High $7.94 | Professional | 53 · Discontinued | $3.98 | $7.41 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.95 Median $5.50 Typical High $5.89 | Professional | 55 · Aftercare only | $2.95 | $5.50 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $3.72 Typical High $3.98 | Professional | 56 · Pre-op care only | $1.95 | $3.72 | $3.98 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Moda Health Setting Facility Modifier None Typical Low $37.15 Median $39.81 Typical High $56.23 | Facility | None | $37.15 | $39.81 | $56.23 |
Moda Health Setting Professional Modifier None Typical Low $23.99 Median $38.02 Typical High $57.54 | Professional | None | $23.99 | $38.02 | $57.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $18.62 Typical High $19.95 | Professional | 52 · Reduced service | $11.22 | $18.62 | $19.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $7.41 Typical High $7.94 | Professional | 53 · Discontinued | $4.47 | $7.41 | $7.94 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $5.50 Typical High $5.89 | Professional | 55 · Aftercare only | $3.39 | $5.50 | $5.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $3.72 Typical High $3.98 | Professional | 56 · Pre-op care only | $2.24 | $3.72 | $3.98 |
Premera BCBS Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Premera BCBS Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | None | $61.66 | $61.66 | $67.61 |
Providence Setting Facility Modifier None Typical Low $32.36 Median $41.69 Typical High $60.26 | Facility | None | $32.36 | $41.69 | $60.26 |
Providence Setting Professional Modifier None Typical Low $15.85 Median $29.51 Typical High $44.67 | Professional | None | $15.85 | $29.51 | $44.67 |
United Setting Professional Modifier None Typical Low $15.85 Median $42.66 Typical High $64.57 | Professional | None | $15.85 | $42.66 | $64.57 |
Where Alaska sits
The same service costs 3.2 times more in Alaska than in New York. 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
$39.81
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.