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 $112.20 Median $112.20 Typical High $363.08 | Facility | None | $112.20 | $112.20 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $112.20 Typical High $112.20 | Professional | None | $60.26 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $30.20 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $12.02 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $16.98 Typical High $16.98 | Professional | 55 · Aftercare only | $9.12 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $11.22 Typical High $11.22 | Professional | 56 · Pre-op care only | $6.03 | $11.22 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $63.10 | Professional | None | $60.26 | $60.26 | $63.10 |
Moda Health Setting Facility Modifier None Typical Low $60.26 Median $85.11 Typical High $363.08 | Facility | None | $60.26 | $85.11 | $363.08 |
Moda Health Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $104.71 | Professional | None | $60.26 | $63.10 | $104.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $28.18 | $52.48 | $52.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $11.22 | $20.89 | $20.89 |
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 $5.62 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $5.62 | $10.47 | $10.47 |
Premera BCBS Setting Facility Modifier None Typical Low $56.23 Median $100.00 Typical High $154.88 | Facility | None | $56.23 | $100.00 | $154.88 |
Premera BCBS Setting Professional Modifier None Typical Low $56.23 Median $85.11 Typical High $85.11 | Professional | None | $56.23 | $85.11 | $85.11 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $162.18 | Facility | None | $112.20 | $112.20 | $162.18 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $77.62 | Professional | None | $60.26 | $60.26 | $77.62 |
United Setting Professional Modifier None Typical Low $56.23 Median $85.11 Typical High $114.82 | Professional | None | $56.23 | $85.11 | $114.82 |
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
$74.13
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.