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 $2,137.96 Median $12,022.64 Typical High $16,595.87 | Facility | None | $2,137.96 | $12,022.64 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,122.02 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,584.89 Typical High $1,584.89 | Professional | 54 · Surgery only | $851.14 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $316.23 Typical High $316.23 | Professional | 55 · Aftercare only | $169.82 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $112.20 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,479.11 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $794.33 | $1,479.11 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Moda Health Setting Facility Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $3,019.95 | Facility | None | $1,949.84 | $2,137.96 | $3,019.95 |
Moda Health Setting Professional Modifier None Typical Low $1,348.96 Median $3,090.30 Typical High $7,244.36 | Professional | None | $1,348.96 | $3,090.30 | $7,244.36 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,584.89 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,000.00 | $1,584.89 | $1,584.89 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $316.23 Typical High $316.23 | Professional | 55 · Aftercare only | $199.53 | $316.23 | $316.23 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $134.90 | $213.80 | $213.80 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,479.11 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $933.25 | $1,479.11 | $1,479.11 |
Premera BCBS Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Providence Setting Facility Modifier None Typical Low $2,089.30 Median $251,188.64 Typical High $346,736.85 | Facility | None | $2,089.30 | $251,188.64 | $346,736.85 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $1,071.52 Typical High $3,090.30 | Professional | None | $60.26 | $1,071.52 | $3,090.30 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $4,265.80 | Facility | None | $691.83 | $1,071.52 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $3,090.30 Typical High $7,244.36 | Professional | None | $1,047.13 | $3,090.30 | $7,244.36 |
Where Alaska sits
The same service costs 16.2 times more in Alaska than in Texas. 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
$3,090
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.