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 $21.38 Median $21.38 Typical High $91.20 | Facility | None | $21.38 | $21.38 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $21.38 Typical High $21.38 | Professional | None | $11.48 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $5.75 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $2.29 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.74 Median $3.24 Typical High $3.24 | Professional | 55 · Aftercare only | $1.74 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.15 Median $2.14 Typical High $2.14 | Professional | 56 · Pre-op care only | $1.15 | $2.14 | $2.14 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $12.02 | Professional | None | $11.48 | $11.48 | $12.02 |
Moda Health Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $91.20 | Facility | None | $11.48 | $11.48 | $91.20 |
Moda Health Setting Professional Modifier None Typical Low $11.48 Median $14.13 Typical High $25.70 | Professional | None | $11.48 | $14.13 | $25.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $6.92 | $12.88 | $12.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $2.82 | $5.25 | $5.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $2.09 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $2.09 | $3.89 | $3.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $2.57 Typical High $2.57 | Professional | 56 · Pre-op care only | $1.38 | $2.57 | $2.57 |
Premera BCBS Setting Facility Modifier None Typical Low $13.80 Median $43.65 Typical High $69.18 | Facility | None | $13.80 | $43.65 | $69.18 |
Premera BCBS Setting Professional Modifier None Typical Low $13.80 Median $37.15 Typical High $37.15 | Professional | None | $13.80 | $37.15 | $37.15 |
Providence Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $30.90 | Facility | None | $21.38 | $21.38 | $30.90 |
Providence Setting Professional Modifier None Typical Low $11.48 Median $14.79 Typical High $60.26 | Professional | None | $11.48 | $14.79 | $60.26 |
United Setting Professional Modifier None Typical Low $13.80 Median $20.89 Typical High $28.84 | Professional | None | $13.80 | $20.89 | $28.84 |
Where Alaska sits
The same service costs 1.8 times more in Alaska than in Kentucky. 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
$20.89
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.