How much rates vary
Facilitymedian $11 · 10th to 90th $9 to $37Professionalmedian $9 · 10th to 90th $5 to $11
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 $10.72 Median $10.72 Typical High $37.15 | Facility | None | $10.72 | $10.72 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $10.72 Typical High $10.72 | Professional | None | $5.75 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $5.37 Typical High $5.37 | Professional | 52 · Reduced service | $2.88 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $2.14 Typical High $2.14 | Professional | 53 · Discontinued | $1.15 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.85 Median $1.58 Typical High $1.58 | Professional | 55 · Aftercare only | $0.85 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $1.07 Typical High $1.07 | Professional | 56 · Pre-op care only | $0.56 | $1.07 | $1.07 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Moda Health Setting Facility Modifier None Typical Low $10.72 Median $15.14 Typical High $37.15 | Facility | None | $10.72 | $15.14 | $37.15 |
Moda Health Setting Professional Modifier None Typical Low $5.75 Median $10.72 Typical High $10.72 | Professional | None | $5.75 | $10.72 | $10.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $5.37 Typical High $5.37 | Professional | 52 · Reduced service | $2.88 | $5.37 | $5.37 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $2.14 Typical High $2.14 | Professional | 53 · Discontinued | $1.15 | $2.14 | $2.14 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.85 Median $1.58 Typical High $1.58 | Professional | 55 · Aftercare only | $0.85 | $1.58 | $1.58 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.58 Median $1.07 Typical High $1.07 | Professional | 56 · Pre-op care only | $0.58 | $1.07 | $1.07 |
Premera BCBS Setting Facility Modifier None Typical Low $5.75 Median $9.12 Typical High $14.13 | Facility | None | $5.75 | $9.12 | $14.13 |
Premera BCBS Setting Professional Modifier None Typical Low $5.75 Median $7.76 Typical High $7.76 | Professional | None | $5.75 | $7.76 | $7.76 |
Providence Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $15.14 | Facility | None | $10.72 | $10.72 | $15.14 |
Providence Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $7.59 | Professional | None | $5.50 | $5.50 | $7.59 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.51 Typical High $11.75 | Professional | None | $5.75 | $8.51 | $11.75 |
Where Alaska sits
The same service costs 1.5 times more in Alaska than in Pennsylvania. 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
$8.51
AK $8.51PA $5.50
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.