How much rates vary
Facilitymedian $3 · 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 $1.91 Median $1.91 Typical High $5.89 | Facility | None | $1.91 | $1.91 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $1.02 Median $1.91 Typical High $1.91 | Professional | None | $1.02 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.51 Median $0.95 Typical High $0.95 | Professional | 52 · Reduced service | $0.51 | $0.95 | $0.95 |
Aetna 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 |
Aetna 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 |
Aetna 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 |
Moda Health Setting Facility Modifier None Typical Low $1.02 Median $5.01 Typical High $8.13 | Facility | None | $1.02 | $5.01 | $8.13 |
Moda Health Setting Professional Modifier None Typical Low $1.02 Median $1.10 Typical High $1.70 | Professional | None | $1.02 | $1.10 | $1.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.45 Median $0.83 Typical High $0.83 | Professional | 52 · Reduced service | $0.45 | $0.83 | $0.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.18 Median $0.33 Typical High $0.33 | Professional | 53 · Discontinued | $0.18 | $0.33 | $0.33 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.14 Median $0.25 Typical High $0.25 | Professional | 55 · Aftercare only | $0.14 | $0.25 | $0.25 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.17 Typical High $0.17 | Professional | 56 · Pre-op care only | $0.09 | $0.17 | $0.17 |
Premera BCBS Setting Facility Modifier None Typical Low $1.58 Median $1.82 Typical High $2.51 | Facility | None | $1.58 | $1.82 | $2.51 |
Premera BCBS Setting Professional Modifier None Typical Low $1.05 Median $1.38 Typical High $1.38 | Professional | None | $1.05 | $1.38 | $1.38 |
Providence Setting Facility Modifier None Typical Low $1.91 Median $1.91 Typical High $2.69 | Facility | None | $1.91 | $1.91 | $2.69 |
Providence Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $1.35 | Professional | None | $1.23 | $1.23 | $1.35 |
United Setting Professional Modifier None Typical Low $0.89 Median $1.35 Typical High $2.45 | Professional | None | $0.89 | $1.35 | $2.45 |
Where Alaska sits
The same service costs 1.5 times more in Alaska than in New Mexico. 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
$1.35
AK $1.35NM $0.89
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.