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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $501.19 Typical High $501.19 | Professional | None | $158.49 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $87.10 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $34.67 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $26.30 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $50.12 Typical High $50.12 | Professional | 56 · Pre-op care only | $17.38 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Moda Health Setting Facility Modifier None Typical Low $363.08 Median $501.19 Typical High $724.44 | Facility | None | $363.08 | $501.19 | $724.44 |
Moda Health Setting Professional Modifier None Typical Low $158.49 Median $501.19 Typical High $501.19 | Professional | None | $158.49 | $501.19 | $501.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $93.33 | $251.19 | $251.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $37.15 | $100.00 | $100.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $28.18 | $75.86 | $75.86 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $50.12 Typical High $50.12 | Professional | 56 · Pre-op care only | $18.62 | $50.12 | $50.12 |
Premera BCBS Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $707.95 | Facility | None | $501.19 | $501.19 | $707.95 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $165.96 Typical High $245.47 | Professional | None | $60.26 | $165.96 | $245.47 |
United Setting Professional Modifier None Typical Low $151.36 Median $371.54 Typical High $467.74 | Professional | None | $151.36 | $371.54 | $467.74 |
Where Alaska sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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
$501
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.