How much rates vary
Facilitymedian $4 · 10th to 90th $2 to $13Professionalmedian $3 · 10th to 90th $2 to $4
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 $3.80 Median $3.80 Typical High $13.49 | Facility | None | $3.80 | $3.80 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $3.80 Typical High $3.80 | Professional | None | $2.04 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.00 Median $1.86 Typical High $1.86 | Professional | 52 · Reduced service | $1.00 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.40 Median $0.76 Typical High $0.76 | Professional | 53 · Discontinued | $0.40 | $0.76 | $0.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.30 Median $0.56 Typical High $0.56 | Professional | 55 · Aftercare only | $0.30 | $0.56 | $0.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.38 Typical High $0.38 | Professional | 56 · Pre-op care only | $0.20 | $0.38 | $0.38 |
Moda Health Setting Facility Modifier None Typical Low $2.04 Median $3.80 Typical High $13.49 | Facility | None | $2.04 | $3.80 | $13.49 |
Moda Health Setting Professional Modifier None Typical Low $2.04 Median $2.34 Typical High $3.98 | Professional | None | $2.04 | $2.34 | $3.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.02 Median $1.91 Typical High $1.91 | Professional | 52 · Reduced service | $1.02 | $1.91 | $1.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.76 Typical High $0.76 | Professional | 53 · Discontinued | $0.41 | $0.76 | $0.76 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.58 Typical High $0.58 | Professional | 55 · Aftercare only | $0.31 | $0.58 | $0.58 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.38 Typical High $0.38 | Professional | 56 · Pre-op care only | $0.21 | $0.38 | $0.38 |
Premera BCBS Setting Facility Modifier None Typical Low $2.95 Median $9.77 Typical High $13.49 | Facility | None | $2.95 | $9.77 | $13.49 |
Premera BCBS Setting Professional Modifier None Typical Low $1.95 Median $7.41 Typical High $7.41 | Professional | None | $1.95 | $7.41 | $7.41 |
Providence Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $5.37 | Facility | None | $3.80 | $3.80 | $5.37 |
Providence Setting Professional Modifier None Typical Low $2.57 Median $2.82 Typical High $3.09 | Professional | None | $2.57 | $2.82 | $3.09 |
United Setting Professional Modifier None Typical Low $2.04 Median $3.09 Typical High $4.27 | Professional | None | $2.04 | $3.09 | $4.27 |
Where Alaska sits
The same service costs 2.1 times more in Wyoming than in Delaware. 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· 3rd of 51
$3.09
WY $4.37DE $2.04
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.