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 $4,786.30 Median $4,786.30 Typical High $15,848.93 | Facility | None | $4,786.30 | $4,786.30 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $4,786.30 Typical High $4,786.30 | Professional | None | $2,570.40 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,258.93 Median $2,344.23 Typical High $2,344.23 | Professional | 52 · Reduced service | $1,258.93 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $954.99 Typical High $954.99 | Professional | 53 · Discontinued | $512.86 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $3,548.13 Typical High $3,548.13 | Professional | 54 · Surgery only | $1,905.46 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $707.95 Typical High $707.95 | Professional | 55 · Aftercare only | $380.19 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $478.63 Typical High $478.63 | Professional | 56 · Pre-op care only | $257.04 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,630.27 | Professional | None | $2,570.40 | $2,570.40 | $2,630.27 |
Moda Health Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $15,848.93 | Facility | None | $2,570.40 | $2,570.40 | $15,848.93 |
Moda Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $4,570.88 | Professional | None | $2,454.71 | $2,570.40 | $4,570.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,230.27 Median $2,290.87 Typical High $2,290.87 | Professional | 52 · Reduced service | $1,230.27 | $2,290.87 | $2,290.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $912.01 Typical High $912.01 | Professional | 53 · Discontinued | $489.78 | $912.01 | $912.01 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $3,388.44 Typical High $3,388.44 | Professional | 54 · Surgery only | $1,819.70 | $3,388.44 | $3,388.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $676.08 Typical High $676.08 | Professional | 55 · Aftercare only | $363.08 | $676.08 | $676.08 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $457.09 Typical High $457.09 | Professional | 56 · Pre-op care only | $245.47 | $457.09 | $457.09 |
Premera BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $4,168.69 Typical High $6,606.93 | Facility | None | $2,454.71 | $4,168.69 | $6,606.93 |
Premera BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $3,548.13 Typical High $3,548.13 | Professional | None | $2,454.71 | $3,548.13 | $3,548.13 |
Providence Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $6,760.83 | Facility | None | $4,786.30 | $4,786.30 | $6,760.83 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $2,570.40 Typical High $3,090.30 | Professional | None | $60.26 | $2,570.40 | $3,090.30 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $3,630.78 Typical High $5,011.87 | Professional | None | $2,454.71 | $3,630.78 | $5,011.87 |
Where Alaska sits
Rates are fairly even across states for this service. 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
$3,020
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.