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 $0.21 Median $0.21 Typical High $0.95 | Facility | None | $0.21 | $0.21 | $0.95 |
Aetna Setting Professional Modifier None Typical Low $0.11 Median $0.21 Typical High $0.21 | Professional | None | $0.11 | $0.21 | $0.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.06 Median $0.11 Typical High $0.11 | Professional | 52 · Reduced service | $0.06 | $0.11 | $0.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.04 Typical High $0.04 | Professional | 53 · Discontinued | $0.02 | $0.04 | $0.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.03 Typical High $0.03 | Professional | 55 · Aftercare only | $0.02 | $0.03 | $0.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
Cigna Setting Professional Modifier None Typical Low $0.11 Median $0.11 Typical High $0.12 | Professional | None | $0.11 | $0.11 | $0.12 |
Moda Health Setting Facility Modifier None Typical Low $0.11 Median $0.56 Typical High $2.14 | Facility | None | $0.11 | $0.56 | $2.14 |
Moda Health Setting Professional Modifier None Typical Low $0.11 Median $0.15 Typical High $0.27 | Professional | None | $0.11 | $0.15 | $0.27 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.08 Median $0.14 Typical High $0.14 | Professional | 52 · Reduced service | $0.08 | $0.14 | $0.14 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.03 Median $0.05 Typical High $0.05 | Professional | 53 · Discontinued | $0.03 | $0.05 | $0.05 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.04 Typical High $0.04 | Professional | 55 · Aftercare only | $0.02 | $0.04 | $0.04 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.03 Typical High $0.03 | Professional | 56 · Pre-op care only | $0.02 | $0.03 | $0.03 |
Premera BCBS Setting Facility Modifier None Typical Low $0.14 Median $0.65 Typical High $0.87 | Facility | None | $0.14 | $0.65 | $0.87 |
Premera BCBS Setting Professional Modifier None Typical Low $0.10 Median $0.48 Typical High $0.48 | Professional | None | $0.10 | $0.48 | $0.48 |
Providence Setting Facility Modifier None Typical Low $0.21 Median $0.21 Typical High $0.30 | Facility | None | $0.21 | $0.21 | $0.30 |
Providence Setting Professional Modifier None Typical Low $0.11 Median $0.14 Typical High $60.26 | Professional | None | $0.11 | $0.14 | $60.26 |
United Setting Professional Modifier None Typical Low $0.15 Median $0.23 Typical High $0.41 | Professional | None | $0.15 | $0.23 | $0.41 |
Where Alaska sits
The same service costs 3.1 times more in Wyoming than in Alabama. 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· 2nd of 51
$0.21
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.