How much rates vary
Facilitymedian $87 · 10th to 90th $38 to $257Professionalmedian $59 · 10th to 90th $38 to $74
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 $70.79 Median $70.79 Typical High $257.04 | Facility | None | $70.79 | $70.79 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $70.79 Typical High $70.79 | Professional | None | $38.02 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $19.05 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $7.59 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $10.72 Typical High $10.72 | Professional | 55 · Aftercare only | $5.75 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $7.08 Typical High $7.08 | Professional | 56 · Pre-op care only | $3.80 | $7.08 | $7.08 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $39.81 | Professional | None | $38.02 | $38.02 | $39.81 |
Moda Health Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $257.04 | Facility | None | $38.02 | $38.02 | $257.04 |
Moda Health Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $74.13 | Professional | None | $38.02 | $45.71 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $19.95 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $7.94 | $14.79 | $14.79 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $10.96 Typical High $10.96 | Professional | 55 · Aftercare only | $6.03 | $10.96 | $10.96 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $7.41 Typical High $7.41 | Professional | 56 · Pre-op care only | $3.98 | $7.41 | $7.41 |
Premera BCBS Setting Facility Modifier None Typical Low $60.26 Median $100.00 Typical High $138.04 | Facility | None | $60.26 | $100.00 | $138.04 |
Premera BCBS Setting Professional Modifier None Typical Low $39.81 Median $74.13 Typical High $74.13 | Professional | None | $39.81 | $74.13 | $74.13 |
Providence Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $102.33 | Facility | None | $70.79 | $70.79 | $102.33 |
Providence Setting Professional Modifier None Typical Low $38.02 Median $48.98 Typical High $60.26 | Professional | None | $38.02 | $48.98 | $60.26 |
United Setting Professional Modifier None Typical Low $39.81 Median $60.26 Typical High $104.71 | Professional | None | $39.81 | $60.26 | $104.71 |
Where Alaska sits
The same service costs 1.6 times more in Alaska than in South Carolina. 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
$60.26
AK $60.26SC $38.02
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.