How much rates vary
Facilitymedian $117 · 10th to 90th $63 to $372Professionalmedian $69 · 10th to 90th $58 to $117
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 $117.49 Median $117.49 Typical High $371.54 | Facility | None | $117.49 | $117.49 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $117.49 Typical High $117.49 | Professional | None | $63.10 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $31.62 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $12.59 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $17.38 Typical High $17.38 | Professional | 55 · Aftercare only | $9.33 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $6.31 | $11.75 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Moda Health Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $371.54 | Facility | None | $63.10 | $63.10 | $371.54 |
Moda Health Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $107.15 | Professional | None | $60.26 | $63.10 | $107.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $28.84 | $53.70 | $53.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $11.48 | $21.38 | $21.38 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $8.51 | $15.85 | $15.85 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $5.75 | $10.72 | $10.72 |
Premera BCBS Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $158.49 | Facility | None | $87.10 | $117.49 | $158.49 |
Premera BCBS Setting Professional Modifier None Typical Low $57.54 Median $87.10 Typical High $87.10 | Professional | None | $57.54 | $87.10 | $87.10 |
Providence Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $165.96 | Facility | None | $117.49 | $117.49 | $165.96 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $69.18 | Professional | None | $60.26 | $63.10 | $69.18 |
United Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $144.54 | Professional | None | $57.54 | $85.11 | $144.54 |
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
$72.44
AK $72.44NC $57.54
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.