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 $323.59 Median $323.59 Typical High $1,071.52 | Facility | None | $323.59 | $323.59 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $323.59 Typical High $323.59 | Professional | None | $173.78 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $87.10 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $34.67 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $239.88 Typical High $239.88 | Professional | 54 · Surgery only | $128.82 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $25.70 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $32.36 Typical High $32.36 | Professional | 56 · Pre-op care only | $17.38 | $32.36 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | None | $173.78 | $173.78 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $1,071.52 | Facility | None | $173.78 | $173.78 | $1,071.52 |
Moda Health Setting Professional Modifier None Typical Low $169.82 Median $173.78 Typical High $302.00 | Professional | None | $169.82 | $173.78 | $302.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $81.28 | $151.36 | $151.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $33.11 | $61.66 | $61.66 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $229.09 Typical High $229.09 | Professional | 54 · Surgery only | $123.03 | $229.09 | $229.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $45.71 Typical High $45.71 | Professional | 55 · Aftercare only | $24.55 | $45.71 | $45.71 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $16.22 | $30.20 | $30.20 |
Premera BCBS Setting Facility Modifier None Typical Low $162.18 Median $269.15 Typical High $416.87 | Facility | None | $162.18 | $269.15 | $416.87 |
Premera BCBS Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $229.09 | Professional | None | $162.18 | $229.09 | $229.09 |
Providence Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $457.09 | Facility | None | $323.59 | $323.59 | $457.09 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $173.78 Typical High $218.78 | Professional | None | $60.26 | $173.78 | $218.78 |
United Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $338.84 | Professional | None | $162.18 | $245.47 | $338.84 |
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
$214
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.