How much rates vary
Facilitymedian $2 · 10th to 90th $1 to $8Professionalmedian $1 · 10th to 90th $1 to $2
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 $1.62 Median $1.62 Typical High $6.61 | Facility | None | $1.62 | $1.62 | $6.61 |
Aetna Setting Professional Modifier None Typical Low $0.85 Median $1.62 Typical High $1.62 | Professional | None | $0.85 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.43 Median $0.81 Typical High $0.81 | Professional | 52 · Reduced service | $0.43 | $0.81 | $0.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.17 Median $0.32 Typical High $0.32 | Professional | 53 · Discontinued | $0.17 | $0.32 | $0.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.13 Median $0.24 Typical High $0.24 | Professional | 55 · Aftercare only | $0.13 | $0.24 | $0.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.16 Typical High $0.16 | Professional | 56 · Pre-op care only | $0.09 | $0.16 | $0.16 |
Cigna Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
Moda Health Setting Facility Modifier None Typical Low $0.85 Median $0.85 Typical High $6.61 | Facility | None | $0.85 | $0.85 | $6.61 |
Moda Health Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $1.86 | Professional | None | $0.85 | $0.85 | $1.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.51 Median $0.93 Typical High $0.93 | Professional | 52 · Reduced service | $0.51 | $0.93 | $0.93 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.20 Median $0.38 Typical High $0.38 | Professional | 53 · Discontinued | $0.20 | $0.38 | $0.38 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.28 Typical High $0.28 | Professional | 55 · Aftercare only | $0.15 | $0.28 | $0.28 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.19 Typical High $0.19 | Professional | 56 · Pre-op care only | $0.10 | $0.19 | $0.19 |
Premera BCBS Setting Facility Modifier None Typical Low $0.91 Median $6.03 Typical High $8.32 | Facility | None | $0.91 | $6.03 | $8.32 |
Premera BCBS Setting Professional Modifier None Typical Low $0.60 Median $4.57 Typical High $4.57 | Professional | None | $0.60 | $4.57 | $4.57 |
Providence Setting Facility Modifier None Typical Low $1.62 Median $1.62 Typical High $2.29 | Facility | None | $1.62 | $1.62 | $2.29 |
Providence Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $1.07 | Professional | None | $0.85 | $0.85 | $1.07 |
United Setting Professional Modifier None Typical Low $1.00 Median $1.51 Typical High $2.51 | Professional | None | $1.00 | $1.51 | $2.51 |
Where Alaska sits
The same service costs 3.7 times more in North Carolina than in Virginia. 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· 4th of 51
$1.07
NC $3.16VA $0.85
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.